STEVEN A CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113437

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

CLARK

Suffix

Business Name

STEVEN A CLARK MD

Original Issue Date

04/14/2005

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

INDIANAPOLIS

State

Zip

46219

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021