License Directory

Russell H Clark Jr Md

Expired

Illinois license 036039610

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036039610
Status
Expired (Not Renewed)
First issued
May 25, 1965
Expired
July 31, 2017
License holder
Russell H Clark Jr Md
Entity type
Individual

Classifications

More from the license record

Current term began
07/28/2014

Contact

Lake Forest, IL 60045
Lake County