RYAN PATRICK CLARK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

PATRICK

Last Name

CLARK

Business Name

RYAN PATRICK CLARK

Original Issue Date

08/15/2014

Effective Date

02/19/2022

Expiration Date

03/01/2024

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

02/05/2025