HALEY R CLARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008425

License Status

ACTIVE

Business

First Name

HALEY

Middle

Last Name

CLARK

Business Name

HALEY R CLARK

Original Issue Date

07/07/2021

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

01/23/2026