ELOISE-MARIE CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103177

License Status

NOT RENEWED

Business

First Name

ELOISE-MARIE

Last Name

CLARK

Suffix

Business Name

ELOISE-MARIE CLARK MD

Original Issue Date

07/31/2000

Effective Date

07/31/2000

Expiration Date

07/31/2005

City

INVERNESS

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006