JAY CLARK SOMERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001188

License Status

NOT RENEWED

Business

First Name

JAY

Middle

CLARK

Last Name

SOMERS

Business Name

JAY CLARK SOMERS

Original Issue Date

01/12/1999

Effective Date

01/12/1999

Expiration Date

03/01/2002

City

MENDOTA

State

Zip

61342

County

BUREAU

Ever Disciplined

LastModifiedDate

10/09/2006