MELISSA GAYLE CLARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

ACTIVE

Business

First Name

MELISSA

Middle

GAYLE

Last Name

CLARK

Business Name

MELISSA GAYLE CLARK

Original Issue Date

07/13/2009

Effective Date

12/11/2025

Expiration Date

03/01/2028

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/11/2025