PATRICIA L CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115784

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

CLARK

Suffix

Business Name

PATRICIA L CLARK MD

Original Issue Date

04/27/2006

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

11/01/2017