The holder whose full name is CLARK, DANIEL LEE,come from HIGHLAND IN,hold the CSR-Osteopathic Physician license(NO.02001312B) which status is Expired.
| Name | CLARK, DANIEL LEE |
|---|---|
| License Number | 02001312B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | HIGHLAND |
| State | IN |