Russell H Clark Jr Md
ExpiredIllinois 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
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 07/28/2014
Contact
Lake Forest, IL 60045
Lake County