KIMBERLY NICOLE CLARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007399

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

NICOLE

Last Name

CLARK

Business Name

KIMBERLY NICOLE CLARK

Original Issue Date

10/21/2019

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/08/2025