The holder whose full name is CLARK, ADA LEE,come from GARY IN,hold the Registered Nurse license(NO.28135424A) which status is Expired.
| Name | CLARK, ADA LEE |
|---|---|
| License Number | 28135424A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | GARY |
| State | IN |