JEFFREY RANDALL CLARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174301

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

RANDALL

Last Name

CLARK

Business Name

JEFFREY RANDALL CLARK MD

Original Issue Date

03/21/2025

Effective Date

03/21/2025

Expiration Date

07/31/2026

City

WINTERSVILLE

State

Zip

43953

County

JEFFERSON

Ever Disciplined

LastModifiedDate

03/21/2025