JASON CRAIG CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

JASON

Middle

CRAIG

Last Name

CLARK

Suffix

Business Name

JASON CRAIG CLARK MD

Original Issue Date

05/04/2010

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023