License holder summary

Kirby Dwight Clark is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Kirby Dwight Clark is 1414 Maryland Avenue, St. Paul, MN 55106. This doctor license is current. The license was granted 07/12/2003 and expired on 09/30/2015.

Department of Safety and Professional Services

Board of Medical Practice

Kirby Dwight Clark
Medical - Physician And Surgeon
License number
45690
Date granted
07/12/2003
Date expires
09/30/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
1414 Maryland Avenue, St. Paul, MN 55106
doctorsminnesota.org
ID 22172779
LAST UPDATED 2024-03-31 06:14:00 UTC

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