JOHN L CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

JOHN L

Last Name

CLARK

Suffix

Business Name

JOHN L CLARK MD

Original Issue Date

07/23/1986

Effective Date

07/23/1986

Expiration Date

07/31/1993

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006