The holder whose full name is CLARK, ANDREA R,come from INDIANAPOLIS IN,hold the Health Facility Administrator license(NO.14003965A) which status is Expired.
| Name | CLARK, ANDREA R |
|---|---|
| License Number | 14003965A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |