CLARK EARL JUDGE 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

Title

First Name

CLARK

Middle

EARL

Last Name

JUDGE

Business Name

CLARK EARL JUDGE MD

Original Issue Date

05/18/2020

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/30/2023