STEVEN G 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

STEVEN G

Last Name

CLARK

Suffix

Business Name

STEVEN G CLARK MD

Original Issue Date

07/16/1984

Effective Date

07/16/1984

Expiration Date

07/31/1987

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020