RICHARD N CLARK JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

RICHARD N

Last Name

CLARK JR

Suffix

Business Name

RICHARD N CLARK JR MD

Original Issue Date

09/24/1984

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60440

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023