KASANDRIA CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172412

License Status

ACTIVE

Business

Title

First Name

KASANDRIA

Last Name

CLARK

Business Name

KASANDRIA CLARK MD

Original Issue Date

10/23/2024

Effective Date

10/23/2024

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/23/2024