Melissa Gayle Clark
Controlled Substance Registration-Physician Assistant
Indiana 10000884B Expired
This Indiana license was held by Melissa Gayle Clark. The license is no longer active. It was granted on 09/02/2008 and expired on 06/30/2010
LICENSE DETAILS
- License Number: 10000884B
- Category: CSR-Physician Assistant
- Status: Expired
- Date Granted: 09/02/2008 (over 16 years ago)
- Expiry Date: 06/30/2010 (almost 15 years ago)
LOCATIONS
A Address
Community Hospital Emergency Dep, 1515 N Madison Avenue, Anderson IN 46011