AMANDA RAYE CLARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011336

License Status

ACTIVE

Business

First Name

AMANDA

Middle

RAYE

Last Name

CLARK

Business Name

AMANDA RAYE CLARK

Original Issue Date

07/01/2025

Effective Date

12/11/2025

Expiration Date

03/01/2028

City

RAYMOND

State

Zip

62560

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

01/21/2026