CHARLES R CLARK MD - Medical Doctor License in Illinois | # 036049784

CHARLES R CLARK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049784

License Status

NOT RENEWED

Business

N

First Name

CHARLES R

Last Name

CLARK

Suffix

MD

Business Name

CHARLES R CLARK MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006