| | Physician Last Name: | Clarke |
| | Physician First Name: | Theresa |
| | Physician Middle Name: | Sharon |
| | Address: | Address redacted |
| | License Number: | 005857 |
| | License Type: | PA |
| | Year of Birth: |
1959
|
| | Effective Date: | 08/05/2009 |
| | Action Description for DOH Webpage: | The physician assistant has agreed to never activate her registration or reapply for a license to practice medicine in New York State. |
| | Misconduct Description for DOH Webpage: | The physician assistant did not contest the charge of having violated the terms of the June 8, 2007 order imposed by the New York State Board for Professional Medical Conduct. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
|
