License holder summary

MARK PATRICK MOUTY is a Physician Assistants - Licensed Physician Assistant licensed to practice in Alaska. The address on file for MARK PATRICK MOUTY is SPORTSMEDICINE FAIRBANKS 1919 LATHROP ST STE 105 FAIRBANKS AK 99701. This licensed professional license is current. The license was granted 01/17/2006 and expired on 12/31/2014.

Alaska

Division of Corporations, Business and Professional Licensing

MARK PATRICK MOUTY
Physician Assistants - Licensed Physician Assistant
License number
696
Date granted
01/17/2006
Date expires
12/31/2014
Class
Physician Assistants - Licensed Physician Assistant
Status
Licensed
Address
SPORTSMEDICINE FAIRBANKS 1919 LATHROP ST STE 105 FAIRBANKS AK 99701
alaskalicensing.com
ID 20414819
LAST UPDATED 2026-05-19 14:33:25 UTC

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