JOHN RILEY CLARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

ACTIVE

Business

First Name

JOHN

Middle

RILEY

Last Name

CLARK

Business Name

JOHN RILEY CLARK

Original Issue Date

12/02/2019

Effective Date

02/25/2024

Expiration Date

03/01/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025