The holder whose full name is Clark, Elizabeth A.,come from Edwardsburg MI,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500455) which status is Expired Non-Renewable.
| Name | Clark, Elizabeth A. |
|---|---|
| License Number | XP500455 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Expired Non-Renewable |
| City | Edwardsburg |
| State | MI |