JACOB ANDREW CLARKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080218

License Status

EXPIRED

Business

Title

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

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/03/2025