License holder summary

CLARK, THOMAS SHANE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for CLARK, THOMAS SHANE is 4210 OLD SEALE HWY. 36875. This doctor license is not current. The license was granted 11/07/2003 and expired on 12/31/2006.

Georgia

Composite Medical Board

CLARK, THOMAS SHANE
Medical - Physician Assistant
License number
004166
Date granted
11/07/2003
Date expires
12/31/2006
Class
Medical - Physician Assistant
Status
Lapsed
Address
4210 OLD SEALE HWY.
georgiadoctors.net
ID 38097195
LAST UPDATED 2024-04-22 18:16:09 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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