The holder whose full name is Clark, Angelique Miller,come from Louisville KY,hold the Occupational Therapist license(NO.31003659A) which status is Active.
| Name | Clark, Angelique Miller |
|---|---|
| License Number | 31003659A |
| License Type | Occupational Therapist |
| License Status | Active |
| City | Louisville |
| State | KY |