JAMES MATTHEW CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153375

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

MATTHEW

Last Name

CLARK

Business Name

JAMES MATTHEW CLARK MD

Original Issue Date

06/16/2020

Effective Date

06/16/2020

Expiration Date

07/31/2023

City

COUDERSPORT

State

Zip

16915

Ever Disciplined

LastModifiedDate

11/30/2023