LAUREN RACHEL CLARK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007996

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

RACHEL

Last Name

CLARK

Business Name

LAUREN RACHEL CLARK

Original Issue Date

10/05/2020

Effective Date

02/04/2022

Expiration Date

03/01/2024

City

PUNTA GORDA

State

Zip

33950

Ever Disciplined

LastModifiedDate

02/05/2025