The holder whose full name is CLARK, DANIEL LEE,come from LOCKPORT IL,hold the Osteopathic Physician license(NO.02001312A) which status is Expired Non-Renewable.
| Name | CLARK, DANIEL LEE |
|---|---|
| License Number | 02001312A |
| License Type | Osteopathic Physician |
| License Status | Expired Non-Renewable |
| City | LOCKPORT |
| State | IL |