The holder whose full name is Clark, Pamela Ann,come from Goshen KY,hold the Physician license(NO.01059118A) which status is Expired Non-Renewable.
| Name | Clark, Pamela Ann |
|---|---|
| License Number | 01059118A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Goshen |
| State | KY |