AMANDA RAYE CLARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

ACTIVE

Business

First Name

AMANDA

Middle

RAYE

Last Name

CLARK

Business Name

AMANDA RAYE CLARK

Original Issue Date

08/29/2025

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

TERRELL

State

Zip

75160

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2025