DANIEL L CLARK DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****84

NOT RENEWED

N

DANIEL L

CLARK

DO

DANIEL L CLARK DO

07/19/1985

07/17/2017

09/30/2020

LOCKPORT

IL

60491

WILL

II III IV V

Y

01/14/2021

2014001876

Permanent Inactive

12/31/2019

The Illinois controlled substance license no. 336.034984 of Daniel L. Clark, D.O. is placed on permanent inactive status effective December 31, 2019 for not properly prescribing controlled substances to patients of his practice.