The holder whose full name is CLARK, ALAN DALE,come from SNELLVILLE GA,hold the Physician license(NO.01036493A) which status is Expired Non-Renewable.
| Name | CLARK, ALAN DALE |
|---|---|
| License Number | 01036493A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SNELLVILLE |
| State | GA |