STEVEN J CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086955

License Status

NOT RENEWED

Business

Title

First Name

STEVEN

Middle

Last Name

CLARK

Business Name

STEVEN J CLARK MD

Original Issue Date

07/26/1993

Effective Date

06/16/2014

Expiration Date

07/31/2017

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/01/2017