Kevin Shane Clark

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085003431

Status

Expired (Not Renewed)

First issued

February 9, 2009

Expired

March 1, 2018

License holder

Kevin Shane Clark

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

02/23/2016

Other Illinois licenses under this name

• IL
  Kevin Shane Clark

  License 049114650

  Pharmacy Technician
  Expired

  Maryville, IL

  Expired Mar 31, 1997
• IL
  Kevin Shane Clark

  License 38*****19

  Physician Assistant Controlled Substance
  Expired

  Belleville, IL

  Expired Mar 1, 2018

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