JACOB ARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

JACOB

Last Name

ARK

Business Name

JACOB ARK MD

Original Issue Date

06/14/2018

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63141

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023