CLARENCE RICHARD HART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

CLARENCE RICHARD

Last Name

HART

Suffix

Business Name

CLARENCE RICHARD HART MD

Original Issue Date

12/06/1984

Effective Date

12/06/1984

Expiration Date

07/31/1993

City

HARVARD

State

Zip

60033

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006