JOHN W CLARKE MD 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

JOHN W

Last Name

CLARKE

Suffix

Business Name

JOHN W CLARKE MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006