CLARK F ANDERSON II Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002809

License Status

ACTIVE

Business

First Name

CLARK

Middle

Last Name

ANDERSON

Suffix

Business Name

CLARK F ANDERSON II

Original Issue Date

09/05/2006

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

02/20/2026