RYAN WILLIAM CLARK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064309

License Status

EXPIRED

Business

Title

First Name

RYAN

Middle

WILLIAM

Last Name

CLARK

Business Name

RYAN WILLIAM CLARK DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

09/19/2017