ELIJAH BOONE CLARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009393

License Status

ACTIVE

Business

First Name

ELIJAH

Middle

BOONE

Last Name

CLARK

Business Name

ELIJAH BOONE CLARK

Original Issue Date

11/14/2022

Effective Date

01/07/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

01/07/2026