CHRISTINA ELENA PORTAL CLARKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143350

License Status

NOT RENEWED

Business

Title

First Name

CHRISTINA

Middle

ELENA PORTAL

Last Name

CLARKE

Business Name

CHRISTINA ELENA PORTAL CLARKE MD

Original Issue Date

06/01/2017

Effective Date

06/01/2017

Expiration Date

09/30/2020

City

MT PLEASANT

State

Zip

29464

Ever Disciplined

LastModifiedDate

01/14/2021