RACHEL E CLARK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038896

License Status

EXPIRED

Business

First Name

RACHEL

Middle

Last Name

CLARK

Business Name

RACHEL E CLARK

Original Issue Date

01/12/1999

Effective Date

01/12/1999

Expiration Date

01/11/2002

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006