MELANIE ANNE CLARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061558

License Status

EXPIRED

Business

First Name

MELANIE

Middle

ANNE

Last Name

CLARK

Suffix

Business Name

MELANIE ANNE CLARK MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

08/16/2016