Wisconsin
Department of Safety and Professional Services
Clark, Jimmy W
Physician Assistant
License number
3614-23
Date granted
07/07/2015
Date expires
02/28/2018
Class
Physician Assistant
Status
Active
wisconsinlicensing.org
ID 36536847
LAST UPDATED 2026-04-24 13:32:16 UTC
LAST UPDATED 2026-04-24 13:32:16 UTC
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