LAUREL M CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

LAUREL

Middle

Last Name

CLARK

Business Name

LAUREL M CLARK MD

Original Issue Date

12/14/2012

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023