THOMAS W CLARK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

THOMAS W

Last Name

CLARK

Business Name

THOMAS W CLARK

Original Issue Date

06/18/1985

Effective Date

06/18/1985

Expiration Date

01/31/1987

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006