DAVID JOHN CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038636

License Status

NOT RENEWED

Business

First Name

DAVID JOHN

Last Name

CLARK

Suffix

Business Name

DAVID JOHN CLARK MD

Original Issue Date

09/10/1963

Effective Date

08/04/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011

Case Number

2000005480

Action

Reprimand

Discipline Start Date

01/17/2003

Discipline Reason

Allegedly performed an inappropriate left calcaneus surgery.