Jenise A Clark
ExpiredIllinois license 38*****61
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****61
- Status
- Expired (Not Renewed)
- First issued
- June 7, 2002
- Expired
- March 1, 2014
- License holder
- Jenise A Clark
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 12/19/2011
Other Illinois licenses under this name
-
IL
InactiveMarion, ILExpired May 31, 2000
-
IL
ExpiredHerrin, ILExpired Jan 31, 1993
-
IL
ExpiredPeoria, AZExpired Mar 1, 2016
Contact
Herrin, IL 62948
Williamson County