FELICIA ANNE CLARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008055

License Status

ACTIVE

Business

First Name

FELICIA

Middle

ANNE

Last Name

CLARK

Business Name

FELICIA ANNE CLARK

Original Issue Date

11/02/2020

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/06/2026