Fred Richard Stark
ExpiredIllinois license 036039352
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036039352
- Status
- Expired (Not Renewed)
- First issued
- December 9, 2002
- Expired
- July 31, 1965
- License holder
- Fred Richard Stark
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 12/09/2002
Contact
Ontario, OR 97914
Oregon County