License holder summary

Kevin Robert Clark is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Kevin Robert Clark is 680 SW 12th Street, Apt. 303, Forest Lake, MN 55025. This doctor license is not current. The license was granted 05/12/2007 and expired on 09/30/2012.

Department of Safety and Professional Services

Board of Medical Practice

Kevin Robert Clark
Medical - Physician And Surgeon
License number
49499
Date granted
05/12/2007
Date expires
09/30/2012
Class
Medical - Physician And Surgeon
Status
Canceled
Address
680 SW 12th Street, Apt. 303, Forest Lake, MN 55025
doctorsminnesota.org
ID 22172778
LAST UPDATED 2024-03-10 23:56:50 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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