JACOB ANDREW CLARKE MD - Medical Doctor License in Illinois | # 125080218

JACOB ANDREW CLARKE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080218

License Status

EXPIRED

Business

N

Title

MD

First Name

JACOB

Middle

ANDREW

Last Name

CLARKE

Business Name

JACOB ANDREW CLARKE MD

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

06/21/2025

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

11/03/2025