THOMAS WILLIAM CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039219

License Status

NOT RENEWED

Business

First Name

THOMAS WILLIAM

Last Name

CLARK

Suffix

Business Name

THOMAS WILLIAM CLARK MD

Original Issue Date

08/17/1964

Effective Date

07/08/2014

Expiration Date

07/31/2017

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/01/2017