CHRISTINE C CLARK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

CHRISTINE C

Last Name

CLARK

Business Name

CHRISTINE C CLARK

Original Issue Date

08/10/1983

Effective Date

08/10/1983

Expiration Date

01/31/1987

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006