IRISHA GERRHEA CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

Title

First Name

IRISHA

Middle

GERRHEA

Last Name

CLARK

Business Name

IRISHA GERRHEA CLARK MD

Original Issue Date

01/14/2024

Effective Date

01/14/2024

Expiration Date

07/31/2026

City

SOUTHFIELD

State

Zip

48076

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2024