ALLEN R CLARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058125

License Status

EXPIRED

Business

Title

First Name

ALLEN

Middle

Last Name

CLARK

Business Name

ALLEN R CLARK MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/13/2015