Michael Edward Clark
ExpiredCalifornia license 15874
License
- Licensed by
- California Physician Assistant Board
- License number
- 15874
- Status
- Expired (Delinquent)
- First issued
- June 12, 2001
- Expired
- April 30, 2025
- License holder
- Michael Edward Clark
- Entity type
- Individual
Classifications
- Physician Assistant Physicians & Surgeons
More from the license record
- License type code
- 9501
Other California licenses under this name
-
CA
ActiveSan Diego, CAExpires Oct 31, 2027
Contact
PO Box 118
Dana Point, CA 92629-0118
Dana Point, CA 92629-0118
Orange County