The holder whose full name is CLARK, ADA LEE,come from GARY IN,hold the Licensed Practical Nurse license(NO.27010634A) which status is Expired.
| Name | CLARK, ADA LEE |
|---|---|
| License Number | 27010634A |
| License Type | Licensed Practical Nurse |
| License Status | Expired |
| City | GARY |
| State | IN |