WALTER HENRY CLARKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036913

License Status

NOT RENEWED

Business

First Name

WALTER HENRY

Last Name

CLARKE

Suffix

Business Name

WALTER HENRY CLARKE MD

Original Issue Date

09/28/1960

Effective Date

09/28/1960

Expiration Date

07/01/1982

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/20/2006