LYLE A CLARK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079308

License Status

INACTIVE

Business

First Name

LYLE A

Last Name

CLARK

Suffix

Business Name

LYLE A CLARK MD

Original Issue Date

08/08/1989

Effective Date

08/08/1989

Expiration Date

07/31/1993

City

COLUMBIA

State

Zip

65203

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006