CHARLES S RUARK JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065970

License Status

NOT RENEWED

Business

First Name

CHARLES S

Last Name

RUARK JR

Suffix

Business Name

CHARLES S RUARK JR MD

Original Issue Date

01/18/1983

Effective Date

01/18/1983

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006