ELIZABETH T CLARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019982

License Status

EXPIRED

Business

First Name

ELIZABETH T

Last Name

CLARK

Suffix

Business Name

ELIZABETH T CLARK MD

Original Issue Date

07/07/1986

Effective Date

07/07/1986

Expiration Date

06/25/1989

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006