RACHEL E CLARK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104767

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

Last Name

CLARK

Business Name

RACHEL E CLARK

Original Issue Date

05/18/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

EDMOND

State

Zip

73013

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008