JAMES A CLARK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

CLARK

Business Name

JAMES A CLARK

Original Issue Date

07/16/1998

Effective Date

09/29/2008

Expiration Date

07/31/2011

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011