MICHAEL LOREN CLARK M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176425

License Status

ACTIVE

Business

Title

M.D.

First Name

MICHAEL

Middle

LOREN

Last Name

CLARK

Business Name

MICHAEL LOREN CLARK M.D.

Original Issue Date

08/05/2025

Effective Date

08/05/2025

Expiration Date

07/31/2026

City

MAINEVILLE

State

Zip

45039

County

WARREN

Ever Disciplined

LastModifiedDate

08/05/2025