1. OFCERTIFIc4Qo
pennsylvania
DEPARTMENT OF HEALTH
JOSHUA R CLARK
Pursuantto the Emergency MedicalServices Act, Act of Jety 2.
as set forthin Section 1003 of the rules and regulations tne
Certification to the above individual.
TYPE OF CERTIFICATE:
CERTIFICATIONNUMBER:
EXPIRESON:
PL. 164. No.45, as amended,35 P.S. Section6921 et seq., and
Departmentof Health hereby issues this Notice of
EMT
118968
04/01/2013
This CERTIFICATION shall expire on the above date, unless for good cause is suspended or revoked sooner.
Joesph W. Schmider, Director
Bureau of Emergency MedicalServices
Q.
A. EveretteJames
ActingSecretaryof Health