ROBERT EDWARD CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131371

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

EDWARD

Last Name

CLARK

Business Name

ROBERT EDWARD CLARK MD

Original Issue Date

09/12/2012

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/19/2023