BARBARA J B CLARK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

NOT RENEWED

Business

First Name

BARBARA

Middle

J B

Last Name

CLARK

Business Name

BARBARA J B CLARK

Original Issue Date

03/27/2001

Effective Date

12/19/2011

Expiration Date

03/01/2014

State

Ever Disciplined

LastModifiedDate

03/28/2014