CLARK EARL JUDGE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070949

License Status

CANCELLED

Business

Title

First Name

CLARK

Middle

EARL

Last Name

JUDGE

Business Name

CLARK EARL JUDGE MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

02/27/2018