GEORGE ALLEN BARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

GEORGE ALLEN

Last Name

BARK

Suffix

Business Name

GEORGE ALLEN BARK MD

Original Issue Date

08/15/1997

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

PAXTON

State

Zip

60957

County

FORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021