AMY ELISABETH CLEMENT Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006966

License Status

INACTIVE

Business

First Name

AMY

Middle

ELISABETH

Last Name

CLEMENT

Business Name

AMY ELISABETH CLEMENT

Original Issue Date

03/08/2019

Effective Date

12/27/2019

Expiration Date

03/01/2022

City

GRASS VALLEY

State

Zip

95945

Ever Disciplined

LastModifiedDate

01/07/2022