STEVEN G CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049330

License Status

NOT RENEWED

Business

First Name

STEVEN G

Last Name

CLARK

Suffix

Business Name

STEVEN G CLARK MD

Original Issue Date

06/17/1974

Effective Date

06/15/2020

Expiration Date

07/31/2023

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/30/2023