WILLIAM G CLARK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090805

License Status

INACTIVE

Business

First Name

WILLIAM G

Last Name

CLARK

Suffix

Business Name

WILLIAM G CLARK MD

Original Issue Date

06/06/1995

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

LAUREL

State

Zip

39440

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

04/08/2014