RYAN PATRICK CLARK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005075

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

PATRICK

Last Name

CLARK

Business Name

RYAN PATRICK CLARK

Original Issue Date

07/15/2014

Effective Date

02/19/2022

Expiration Date

03/01/2024

City

O FALLON

State

Zip

63366

Ever Disciplined

LastModifiedDate

02/05/2025