ALVIN HOWARD CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

ALVIN HOWARD

Last Name

CLARK

Suffix

Business Name

ALVIN HOWARD CLARK MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ELMWOOD

State

Zip

61529

County

PEORIA

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006