PRISCILLA DANIELLE CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

PRISCILLA

Middle

DANIELLE

Last Name

CLARK

Business Name

PRISCILLA DANIELLE CLARK MD

Original Issue Date

10/22/2025

Effective Date

10/22/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/22/2025