Alaska
Division of Corporations, Business and Professional Licensing
CLARENCE BULLOCK
Physician Assistants - Licensed Physician Assistant
License number
375
Date granted
03/01/1996
Class
Physician Assistants - Licensed Physician Assistant
Status
Surrendered
Address
11920 JOHNS ROAD ANCHORAGE AK 99515
alaskalicensing.com
ID 20413032
LAST UPDATED 2024-03-22 06:20:20 UTC
LAST UPDATED 2024-03-22 06:20:20 UTC
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