ANTHONY AUGUSTUS CLARKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

AUGUSTUS

Last Name

CLARKE

Business Name

ANTHONY AUGUSTUS CLARKE MD

Original Issue Date

11/20/2018

Effective Date

11/20/2018

Expiration Date

09/30/2020

City

NEWBURGH

State

Zip

12550

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021