RICHARD PAUL KLARCK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

ACTIVE

Business

First Name

RICHARD

Middle

PAUL

Last Name

KLARCK

Business Name

RICHARD PAUL KLARCK

Original Issue Date

01/14/2022

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

THIRD LAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/16/2024