Robert Ryan Clark Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

021000502

Status

Inactive

First issued

November 18, 1966

Expired

September 30, 1996

License holder

Robert Ryan Clark Dds

Entity type

Individual

Classifications

• Licensed Specialist in Dentistry (Dental) Dental

More from the license record

Specialty

Oral and Maxillofacial Surgery

Current term began

11/18/1966

Ever disciplined

Yes

Discipline case

1990007981

Discipline action

Suspension

Discipline reason

Continued to utilize an anesthesia technique without the proper permit to do so.

Discipline dates

07/31/1991 to 08/13/1991

Other Illinois licenses under this name

• IL
  Robert Ryan Clark Dds

  License 019012839

  Licensed Dentist (Dental)
  Inactive

  Springfield, IL

  Expired Sep 30, 1996
• IL
  Robert Ryan Clark Dds

  License 137000292

  Dental Sedation Permit
  Inactive

  Springfield, IL

  Expired Sep 30, 1996
• IL
  Robert Ryan Clark Dds

  License 31*****85

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Springfield, IL

  Expired Sep 30, 1996

Contact