KARLA L CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

KARLA L

Last Name

CLARK

Suffix

Business Name

KARLA L CLARK MD

Original Issue Date

08/09/1996

Effective Date

06/29/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014