EMMA CHRISTINE CLARDY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076812

License Status

CANCELLED

Business

Title

First Name

EMMA

Middle

CHRISTINE

Last Name

CLARDY

Business Name

EMMA CHRISTINE CLARDY DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/12/2020