CLARK L JENNINGS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064940

License Status

INACTIVE

Business

First Name

CLARK L

Last Name

JENNINGS

Suffix

Business Name

CLARK L JENNINGS MD

Original Issue Date

07/30/1982

Effective Date

07/30/1982

Expiration Date

07/31/1987

City

WAUWATOSA

State

Zip

53213

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006