LOIS MELODY 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

LOIS MELODY

Last Name

CLARKE

Suffix

Business Name

LOIS MELODY CLARKE MD

Original Issue Date

11/16/1993

Effective Date

07/28/2016

Expiration Date

07/31/2017

City

BLUE ISLAND

State

Zip

60406

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020