MONICA ANDREA CLARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038829

License Status

EXPIRED

Business

Title

First Name

MONICA

Middle

ANDREA

Last Name

CLARK

Business Name

MONICA ANDREA CLARK MD

Original Issue Date

08/17/1998

Effective Date

08/17/1998

Expiration Date

08/16/2001

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006