JAMES DANIEL CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

JAMES

Middle

DANIEL

Last Name

CLARK

Business Name

JAMES DANIEL CLARK MD

Original Issue Date

10/06/2020

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

EVANS

State

Zip

30809

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023