DOUGLAS VINTON CLARKE JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Middle

VINTON

Last Name

CLARKE

Suffix

Business Name

DOUGLAS VINTON CLARKE JR MD

Original Issue Date

07/19/2017

Effective Date

12/20/2024

Expiration Date

07/31/2026

City

MOUNT PLEASANT

State

Zip

29464

County

SOUTH CAROLINA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021