CLARK J ALBERT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020338

License Status

EXPIRED

Business

First Name

CLARK

Middle

Last Name

ALBERT

Business Name

CLARK J ALBERT

Original Issue Date

09/19/1986

Effective Date

09/19/1986

Expiration Date

11/16/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006