Jack A Clark Do
ExpiredIllinois license 33*****19
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 33*****19
- Status
- Expired (Not Renewed)
- First issued
- January 1, 1997
- Expired
- January 1, 1997
- License holder
- Jack A Clark Do
- Entity type
- Individual
Classifications
- Licensed Physician Controlled Substance (Medical Board) Physicians & Surgeons
More from the license record
- Controlled substance schedules
- III IV V
Other Illinois licenses under this name
-
IL
Revoked or deniedHomer, IL
Contact
No address on record.