SONYA M CLARK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116919

License Status

NOT RENEWED

Business

First Name

SONYA

Middle

Last Name

CLARK

Suffix

Business Name

SONYA M CLARK DO

Original Issue Date

09/13/2006

Effective Date

09/13/2006

Expiration Date

07/31/2008

City

MANCHESTER

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/12/2009