MELANIE JEAN CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137746

License Status

NOT RENEWED

Business

Title

First Name

MELANIE

Middle

JEAN

Last Name

CLARK

Business Name

MELANIE JEAN CLARK MD

Original Issue Date

04/08/2015

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021