RICHARD R CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082187

License Status

ACTIVE

Business

First Name

RICHARD R

Last Name

CLARK

Suffix

Business Name

RICHARD R CLARK MD

Original Issue Date

03/16/1991

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2023