SUZANNE D CLARKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

Title

First Name

SUZANNE

Middle

Last Name

CLARKE

Business Name

SUZANNE D CLARKE MD

Original Issue Date

05/11/2017

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

CHARLESTON

State

Zip

61920

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023