STEVEN G CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

STEVEN G

Last Name

CLARK

Suffix

Business Name

STEVEN G CLARK MD

Original Issue Date

01/01/1997

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020