The holder whose full name is CLARK, DEBRA LYNN,come from SHELBYVILLE IN,hold the Physician license(NO.01037727A) which status is Expired Non-Renewable.
Name | CLARK, DEBRA LYNN |
---|---|
License Number | 01037727A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SHELBYVILLE |
State | IN |