ELSBURGH O CLARKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

ELSBURGH

Middle

Last Name

CLARKE

Suffix

Business Name

ELSBURGH O CLARKE MD

Original Issue Date

11/30/2000

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023