License Verification

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CLARISSA MCHODGKINS

License Number: PA9110308

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9110308
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
04/05/2017
Address of Record
580 Court St
KEENE, NH 03431
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ARMAGHANI, AVAN JAMSHID Supervising Prescribing Practitioner Medical Doctor 135729 11/11/2021
CZERNIECKI, BRIAN JOSEPH Supervising Prescribing Practitioner Medical Doctor 129379 11/04/2021
KHONG, HUNG Supervising Prescribing Practitioner Medical Doctor 131525 11/09/2021
KILUK, JOHN VINCENT Supervising Prescribing Practitioner Medical Doctor 98964 11/04/2021
LEE, KIMBERLEY Supervising Prescribing Practitioner Medical Doctor 145906 11/09/2021
LEE, MARIE CATHERINE Supervising Prescribing Practitioner Medical Doctor 99730 11/04/2021
LOFTUS, LORETTA SUZANNE Supervising Prescribing Practitioner Medical Doctor 83631 11/04/2021
SOYANO MULLER, AIXA ELENA Supervising Prescribing Practitioner Medical Doctor 123459 11/11/2021

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/22/2024



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