TODD B CLARK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107180

License Status

ACTIVE

Business

First Name

TODD

Middle

Last Name

CLARK

Business Name

TODD B CLARK

Original Issue Date

06/11/2002

Effective Date

09/02/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

09/02/2023