SUSAN HONEYCUTT CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

HONEYCUTT

Last Name

CLARK

Suffix

Business Name

SUSAN HONEYCUTT CLARK MD

Original Issue Date

08/26/1996

Effective Date

08/26/1996

Expiration Date

07/31/1999

City

WAUKEGAN

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020