ALVIN HOWARD CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036019359

License Status

NOT RENEWED

Business

First Name

ALVIN HOWARD

Last Name

CLARK

Suffix

Business Name

ALVIN HOWARD CLARK MD

Original Issue Date

06/04/1932

Effective Date

06/04/1932

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006