SIMON ANDREW CLARK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149234

License Status

NOT RENEWED

Business

Title

First Name

SIMON

Middle

ANDREW

Last Name

CLARK

Business Name

SIMON ANDREW CLARK DO

Original Issue Date

04/26/2019

Effective Date

04/26/2019

Expiration Date

09/30/2020

City

KANSAS CITY

State

Zip

64108

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021