DANIEL MONROE CLARK III MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043295

License Status

INACTIVE

Business

First Name

DANIEL MONROE

Last Name

CLARK III

Suffix

Business Name

DANIEL MONROE CLARK III MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

EAU CLAIRE

State

Zip

54701

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006