The holder whose full name is CLARK, KELLY KAY,come from FORTVILLE IN,hold the Pharmacy Intern license(NO.45009932A) which status is Expired.
| Name | CLARK, KELLY KAY |
|---|---|
| License Number | 45009932A |
| License Type | Pharmacy Intern |
| License Status | Expired |
| City | FORTVILLE |
| State | IN |