DANA MARIE CLARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000515

License Status

EXPIRED

Business

Title

First Name

DANA

Middle

MARIE

Last Name

CLARK

Business Name

DANA MARIE CLARK MD

Original Issue Date

09/01/2012

Effective Date

09/01/2012

Expiration Date

02/28/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

04/02/2013