BARBARA J B CLARK Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000013

License Status

INACTIVE

Business

First Name

BARBARA

Middle

J B

Last Name

CLARK

Business Name

BARBARA J B CLARK

Original Issue Date

11/13/1980

Effective Date

12/19/2011

Expiration Date

03/01/2014

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

03/28/2014