RICHARD N CLARK JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014845

License Status

EXPIRED

Business

First Name

RICHARD N

Last Name

CLARK JR

Suffix

Business Name

RICHARD N CLARK JR MD

Original Issue Date

07/28/1982

Effective Date

07/28/1982

Expiration Date

06/29/1984

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006