Disciplinary Action
The following information was retrieved from the Department's database at 5/2/2024 4:22:44 PM. The information presented reflects the database records at the time of your inquiry; however, it will not reflect pending updates which are being processed by the Department.
Order Details
- Name
- CLARK, BLAKE
- Respondent Type
- Licensed Individual
- License Number
- File Number
- 22F-489
- Order Type
- Consent Order
- Reason
- Conviction(s)
- Order Date
- 11/1/2024
- Dispositions
-
Affidavits - Quarterly
Provisional License - 2 years
Order Document