Jacob Clark
ActiveMichigan license 5601011462
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601011462
- Status
- Active
- First issued
- October 28, 2022
- Expires
- October 28, 2027
- License holder
- Jacob Clark
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons