LAUREL M CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131847

License Status

ACTIVE

Business

Title

First Name

LAUREL

Middle

Last Name

CLARK

Business Name

LAUREL M CLARK MD

Original Issue Date

12/14/2012

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

06/14/2023