MEREDITH BAILEY CLARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

ACTIVE

Business

First Name

MEREDITH

Middle

BAILEY

Last Name

CLARK

Business Name

MEREDITH BAILEY CLARK

Original Issue Date

07/21/2022

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

EVANSTON

State

Zip

60202

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2026