Massachusetts
Division of Professional Licensure
Susannah J. Clark
Physician Assistants - Temporary Practice Certification
License number
PAT0024
Date granted
12/21/2009
Date expires
12/12/2011
Class
Physician Assistants - Temporary Practice Certification
Status
Voided
Address
United States
licensingma.org
ID 38603953
LAST UPDATED 2024-04-02 03:23:48 UTC
LAST UPDATED 2024-04-02 03:23:48 UTC
This website is unaffiliated with the Division of Professional Licensure. Please verify all information directly with the relevant official government authority.