CLIFFORD RONALD CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058038

License Status

NOT RENEWED

Business

First Name

CLIFFORD RONALD

Last Name

CLARK

Suffix

Business Name

CLIFFORD RONALD CLARK MD

Original Issue Date

11/20/1978

Effective Date

11/20/1978

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

02/19/2010