LAWRENCE E CLARK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000154

License Status

EXPIRED

Business

First Name

LAWRENCE

Middle

Last Name

CLARK

Business Name

LAWRENCE E CLARK

Original Issue Date

06/26/1991

Effective Date

06/26/1991

Expiration Date

12/31/1991

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/25/2006