CHRISTINA M CLARK Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000832

License Status

INACTIVE

Business

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

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006