The holder whose full name is CLEMENTS, FAWN M.,come from FOWLER IN,hold the Qualified Medication Aide license(NO.QMA0600072) which status is Expired.
| Name | CLEMENTS, FAWN M. |
|---|---|
| License Number | QMA0600072 |
| License Type | Qualified Medication Aide |
| License Status | Expired |
| City | FOWLER |
| State | IN |