JOSEPH I CLARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023627

License Status

EXPIRED

Business

First Name

JOSEPH

Middle

Last Name

CLARK

Suffix

Business Name

JOSEPH I CLARK MD

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

06/22/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2009