THEODORE H CLARKE Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001990

License Status

INACTIVE

Business

First Name

THEODORE H

Last Name

CLARKE

Business Name

THEODORE H CLARKE

Original Issue Date

07/20/1950

Effective Date

07/20/1950

Expiration Date

01/31/1989

City

KOKOMO

State

Zip

46901

County

INDIANA

Ever Disciplined

LastModifiedDate

09/25/2006