KEVIN R CLARK DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079261

License Status

INACTIVE

Business

First Name

KEVIN R

Last Name

CLARK

Suffix

Business Name

KEVIN R CLARK DO

Original Issue Date

08/01/1989

Effective Date

08/01/1989

Expiration Date

07/31/1990

City

POTTSTOWN

State

Zip

19464

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006