JAY CLARK SOMERS - Physician Assistant License in Illinois | # 085001188

JAY CLARK SOMERS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001188

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006