IAN CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161858

License Status

ACTIVE

Business

Title

First Name

IAN

Last Name

CLARK

Business Name

IAN CLARK MD

Original Issue Date

08/08/2022

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

Ever Disciplined

LastModifiedDate

06/13/2023