| | Physician Last Name: | Clark |
| | Physician First Name: | Elwyn |
| | Physician Middle Name: | Charles |
| | Address: | 70 Dubois Street
Newburgh, NY 12550 |
| | License Number: | 247501 |
| | License Type: | DO |
| | Year of Birth: |
1972
|
| | Effective Date: | 10/30/2012 |
| | Action Description for DOH Webpage: | Nondisciplinary Order of Conditions for three years. The physician completed the terms of his order effective October 29, 2015. |
| | Misconduct Description for DOH Webpage: | This action is not disciplinary in nature. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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