ROBERT KENNETH CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056615

License Status

NOT RENEWED

Business

First Name

ROBERT KENNETH

Last Name

CLARK

Suffix

Business Name

ROBERT KENNETH CLARK MD

Original Issue Date

04/13/1978

Effective Date

04/13/1978

Expiration Date

07/01/1982

City

GREENVILLE

State

Zip

62246

County

BOND

Ever Disciplined

LastModifiedDate

09/20/2006