NINA MARIE CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108439

License Status

ACTIVE

Business

First Name

NINA

Middle

MARIE

Last Name

CLARK

Suffix

Business Name

NINA MARIE CLARK MD

Original Issue Date

01/15/2003

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2023