Malcolm Douglas Clark

Name

Malcolm Douglas Clark

Year of birth

1944

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Malcolm Douglas Clark

Privacy Request

Additional Information

General: PHARMACY

Specialty: PHARMACIST

Medical license number: 1639268980

Address: 555 VILLA DRIVE

City: LIVINGSTON

State: TN

Zip code: 38570

Exclusion type: Felony conviction relating to controlled substance. Minimum Period: 5 years (Social Security Act: 1128(a)(4), 42 USC §: 1320a-7(a)(4))

Exclusion date: 2011-01-19


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