CLIFFORD RONALD CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

CLIFFORD RONALD

Last Name

CLARK

Suffix

Business Name

CLIFFORD RONALD CLARK MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006