SHIRLEY CARL CLARKE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039032

License Status

NOT RENEWED

Business

First Name

SHIRLEY CARL

Last Name

CLARKE

Suffix

Business Name

SHIRLEY CARL CLARKE DO

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008