STEPHEN JAMES CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

STEPHEN JAMES

Last Name

CLARK

Suffix

Business Name

STEPHEN JAMES CLARK MD

Original Issue Date

08/26/1991

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

LINDENHURST

State

Zip

60046

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023