ANTHONY CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

ANTHONY

Last Name

CLARK

Suffix

Business Name

ANTHONY CLARK MD

Original Issue Date

01/16/1986

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60620

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020