LAURIE C CLARK DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****73

NOT RENEWED

N

DO

LAURIE

C

CLARK

LAURIE C CLARK DO

06/28/2012

05/22/2014

07/31/2017

CHICAGO

IL

60623

COOK

PRACTITIONER

II III IV V

N

11/01/2017