License Search: Details

Name	Title	Primary Practice Location	Licensed Or Has Been Licensed In
Chandra Ember Kirk	PA		WV, OR

License Type	License Number	Status	License Date	Expiration Date
PPA	1573	Expired	09/12/2011	3/31/2025

School	Date Completed	Nature of Training
Physician Assistant Program Mountain State University/The College Of WV, Beckley	06/30/2011	Physician Assistant School

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Reprimand or Censure	03/28/2012	Consent Order

No Malpractice Cases On Record

Collaborating Physician	Authorized to Practice	Authorized to Prescribe	Primary Work Location	Designated Alternate Supervisor(s)

This data was retrieved on 4/17/2026.

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