DAVID JEROME CLARDY MD FACC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

DAVID JEROME

Last Name

CLARDY

Suffix

MD FACC

Business Name

DAVID JEROME CLARDY MD FACC

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006