CLARENCE BULLOCK

Temporarily Licensed Physician Assistant Per As 14.43.148

Alaska  190   Licensed

This Alaska license is held by CLARENCE BULLOCK. The license is currently active. It was granted on 01/08/1999 and expired on 06/06/1999

LICENSE DETAILS

  • License Number: 190
  • Category: Temporarily Licensed Physician Assistant per AS 14.43.148
  • Status: Licensed
  • Date Granted: 01/08/1999 (over 26 years ago)
  • Expiry Date: 06/06/1999 (almost 26 years ago)

LOCATIONS

A Address

11920 JOHNS ROAD ANCHORAGE AK 99508