License holder summary

Ezra T Clark is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Ezra T Clark is 3773 Happy Valley Rd, Lafayette, CA 94549. This doctor license is not current. The license was granted 03/12/1988 and expired on 12/31/1995.

Department of Safety and Professional Services

Board of Medical Practice

Ezra T Clark
Medical - Physician And Surgeon
License number
31588
Date granted
03/12/1988
Date expires
12/31/1995
Class
Medical - Physician And Surgeon
Status
Canceled
Address
3773 Happy Valley Rd, Lafayette, CA 94549
doctorsminnesota.org
ID 22172745
LAST UPDATED 2024-02-06 18:46:25 UTC

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