BRADLY DOUGLAS CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151181

License Status

ACTIVE

Business

Title

First Name

BRADLY

Middle

DOUGLAS

Last Name

CLARK

Business Name

BRADLY DOUGLAS CLARK MD

Original Issue Date

11/12/2019

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

MEMPHIS

State

Zip

38125

Ever Disciplined

LastModifiedDate

07/11/2023