WILLIAM G CLARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019090

License Status

EXPIRED

Business

First Name

WILLIAM G

Last Name

CLARK

Suffix

Business Name

WILLIAM G CLARK MD

Original Issue Date

12/20/1985

Effective Date

12/20/1985

Expiration Date

01/01/1989

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006