WHITNEY KRISTINE CLACK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006529

License Status

ACTIVE

Business

First Name

WHITNEY

Middle

KRISTINE

Last Name

CLACK

Business Name

WHITNEY KRISTINE CLACK

Original Issue Date

02/28/2018

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2025