Jack A Clark Do

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036036732

Status

Revoked or denied (Revoked)

First issued

September 2, 1960

License holder

Jack A Clark Do

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

09/02/1960

Ever disciplined

Yes

Other Illinois licenses under this name

• IL
  Jack A Clark Do

  License 33*****19

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Expired Jan 1, 1997

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