JACK DAVID CLEMIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038421

License Status

NOT RENEWED

Business

Title

First Name

JACK

Middle

DAVID

Last Name

CLEMIS

Business Name

JACK DAVID CLEMIS MD

Original Issue Date

06/07/1963

Effective Date

07/10/2020

Expiration Date

07/31/2023

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023