SUZANNE D CLARKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143194

License Status

NOT RENEWED

Business

Title

First Name

SUZANNE

Middle

Last Name

CLARKE

Business Name

SUZANNE D CLARKE MD

Original Issue Date

05/11/2017

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

11/30/2023