Jenise A Clark

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085001680

Status

Expired (Not Renewed)

First issued

November 6, 2001

Expired

March 1, 2016

License holder

Jenise A Clark

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

03/04/2014

Other Illinois licenses under this name

• IL
  Jenise A Clark

  License 041270804

  Registered Professional Nurse (Nursing Board)
  Inactive

  Marion, IL

  Expired May 31, 2000
• IL
  Jenise A Clark

  License 043071718

  Licensed Practical Nurse (Nursing Board)
  Expired

  Herrin, IL

  Expired Jan 31, 1993
• IL
  Jenise A Clark

  License 38*****61

  Physician Assistant Controlled Substance
  Expired

  Herrin, IL

  Expired Mar 1, 2014

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