STANLEY E CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

STANLEY E

Last Name

CLARK

Suffix

Business Name

STANLEY E CLARK MD

Original Issue Date

08/12/1993

Effective Date

08/12/1993

Expiration Date

07/31/1999

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020