CHRISTINA B CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176351

License Status

ACTIVE

Business

Title

First Name

CHRISTINA

Middle

Last Name

CLARK

Business Name

CHRISTINA B CLARK MD

Original Issue Date

07/30/2025

Effective Date

07/30/2025

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

Ever Disciplined

LastModifiedDate

07/30/2025