LEAH MARIE CLEM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003362

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

MARIE

Last Name

CLEM

Business Name

LEAH MARIE CLEM

Original Issue Date

10/16/2008

Effective Date

03/23/2020

Expiration Date

03/01/2022

City

CLARKSVILLE

State

Zip

37043

County

TENNESSEE

Ever Disciplined

LastModifiedDate

07/27/2022