BEVERLEY A CLARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079576

License Status

NOT RENEWED

Business

First Name

BEVERLEY A

Last Name

CLARK

Suffix

Business Name

BEVERLEY A CLARK MD

Original Issue Date

11/22/1989

Effective Date

11/22/1989

Expiration Date

07/31/1990

City

AMARILLO

State

Zip

79016

County

TEXAS

Ever Disciplined

LastModifiedDate

02/03/2007

Case Number

2004001253

Action

Refuse To Renew

Discipline Start Date

04/16/2004

Discipline Reason

Disciplined in Texas.