License holder summary

Pamela Ann Clark is a Physician licensed to practice in Indiana. The address on file for Pamela Ann Clark is Goshen KY 40026. This licensed professional license is not current. The license was granted 05/17/2004 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Pamela Ann Clark
Physician
License number
01059118A
Date granted
05/17/2004
Date expires
06/30/2005
Class
Physician
Status
Expired Non-Renewable
Address
Goshen KY 40026
indianalicensing.org
ID 6056780
LAST UPDATED 2024-03-18 19:40:57 UTC

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