DESIREE AMELIA CLARKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126202

License Status

NOT RENEWED

Business

First Name

DESIREE

Middle

AMELIA

Last Name

CLARKE

Suffix

Business Name

DESIREE AMELIA CLARKE MD

Original Issue Date

07/06/2010

Effective Date

06/10/2011

Expiration Date

07/31/2014

City

LEONIA

State

Zip

07605

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

11/17/2014