License holder summary

CLARK, VIVIAN C, MD is a Medical - Physician licensed to practice in Georgia. The address on file for CLARK, VIVIAN C, MD is 6001 OLD HICKORY BLVD | #399, HERMITAGE 37076. This doctor license is not current. The license was granted 10/12/1972 and expired on 12/31/1979.

Georgia

Composite Medical Board

CLARK, VIVIAN C, MD
Medical - Physician
License number
014895
Date granted
10/12/1972
Date expires
12/31/1979
Class
Medical - Physician
Status
Lapsed
Address
6001 OLD HICKORY BLVD | #399
georgiadoctors.net
ID 38034728
LAST UPDATED 2024-05-09 04:07:37 UTC

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

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