Theresa Ross Clark
ExpiredCalifornia license A110524
License
- Licensed by
- Medical Board of California
- License number
- A110524
- Status
- Expired (Delinquent)
- First issued
- December 30, 2009
- Expired
- August 31, 2025
- License holder
- Theresa Ross Clark
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
3733 Farnsworth Dr
Chesapeake, VA 23321-5738
Chesapeake, VA 23321-5738
Chesapeake City (City) County