License holder summary

Peyton T. Clark is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Peyton T. Clark is Floyd Memorial Medical Bldg., 136 East Cottom Ave., New Albany IN 47150. This licensed professional license is not current. The license was granted 06/28/2013 and expired on 06/30/2014.

Indiana

Professional Licensing Agency

Peyton T. Clark
Controlled Substance Registration-Physician Assistant
License number
10001532B
Date granted
06/28/2013
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Floyd Memorial Medical Bldg., 136 East Cottom Ave., New Albany IN 47150
indianalicensing.org
ID 8388120
LAST UPDATED 2024-04-28 06:46:29 UTC

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