The holder whose full name is CLARK, DONNA,come from CLOVERDALE IN,hold the Qualified Medication Aide license(NO.QMA9000762) which status is Active.
| Name | CLARK, DONNA |
|---|---|
| License Number | QMA9000762 |
| License Type | Qualified Medication Aide |
| License Status | Active |
| City | CLOVERDALE |
| State | IN |