License Directory

Charles R Clark Md

Expired

Illinois license 036049784

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036049784
Status
Expired (Not Renewed)
First issued
August 28, 1974
License holder
Charles R Clark Md
Entity type
Individual

Classifications

More from the license record

Current term began
08/28/1974

Other Illinois licenses under this name

  • IL
    Charles R Clark Md
    License 33*****08
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Expired Sep 1, 1982

Contact

Springfield, IL 62704
Sangamon County