CORNELL M CLARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013248

License Status

EXPIRED

Business

First Name

CORNELL M

Last Name

CLARK

Suffix

Business Name

CORNELL M CLARK MD

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006