NANCY S CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061363

License Status

NOT RENEWED

Business

First Name

NANCY S

Last Name

CLARK

Suffix

Business Name

NANCY S CLARK MD

Original Issue Date

12/03/1980

Effective Date

05/09/2017

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021