The holder whose full name is CLARK, LUCITTA RUTH,come from Alto Loma CA,hold the Phys Ther Assistant license(NO.06000980A) which status is Expired.
| Name | CLARK, LUCITTA RUTH |
|---|---|
| License Number | 06000980A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | Alto Loma |
| State | CA |