DAVID SCOTT CLARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

ACTIVE

Business

First Name

DAVID

Middle

SCOTT

Last Name

CLARK

Business Name

DAVID SCOTT CLARK

Original Issue Date

01/27/2014

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2026