DAVID SCOTT CLARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004806

License Status

ACTIVE

Business

First Name

DAVID

Middle

SCOTT

Last Name

CLARK

Business Name

DAVID SCOTT CLARK

Original Issue Date

08/14/2013

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2026