ROBERT M CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032351

License Status

NOT RENEWED

Business

First Name

ROBERT M

Last Name

CLARK

Suffix

Business Name

ROBERT M CLARK MD

Original Issue Date

09/09/1953

Effective Date

09/09/1953

Expiration Date

07/31/1987

City

MUNCIE

State

Zip

47304

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006