KIRK RAMANN CLARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039999

License Status

EXPIRED

Business

First Name

KIRK

Middle

RAMANN

Last Name

CLARK

Suffix

Business Name

KIRK RAMANN CLARK MD

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/23/2004

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006