Indiana
Professional Licensing Agency
Gregory S. Clark
Physician Assistant
License number
10000165A
Date granted
12/08/1989
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Carmel IN 46032
indianalicensing.org
ID 8389191
LAST UPDATED 2024-02-14 02:01:10 UTC
LAST UPDATED 2024-02-14 02:01:10 UTC
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