ELIZABETH T CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

ELIZABETH T

Last Name

CLARK

Suffix

Business Name

ELIZABETH T CLARK MD

Original Issue Date

08/29/1988

Effective Date

07/28/2020

Expiration Date

07/31/2023

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023