Kevin Shane Clark

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

38*****19

Status

Expired (Inoperative)

First issued

November 6, 2009

Expired

March 1, 2018

License holder

Kevin Shane Clark

Entity type

Individual

Classifications

• Physician Assistant Controlled Substance 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 085003431

  Licensed Physician Assistant
  Expired

  Belleville, IL

  Expired Mar 1, 2018

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