CHRISTINA M CLARK - Physician Assistant License in Illinois | # 085000832

CHRISTINA M CLARK

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000832

License Status

INACTIVE

Business

N

First Name

CHRISTINA M

Last Name

CLARK

Business Name

CHRISTINA M CLARK

Original Issue Date

01/06/1997

Effective Date

01/06/1997

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006