JENNIFER ELIZABETH CLARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006054

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

ELIZABETH

Last Name

CLARK

Business Name

JENNIFER ELIZABETH CLARK

Original Issue Date

10/18/2016

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

12/05/2025