The holder whose full name is Clark, Jacqueline E,come from Merrillville IN,hold the Health Facility Administrator license(NO.14004972A) which status is Active.
| Name | Clark, Jacqueline E |
|---|---|
| License Number | 14004972A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | Merrillville |
| State | IN |