The holder whose full name is CLARK, GRACE MOZINGO,come from INDIANAPOLIS IN,hold the Registered Nurse license(NO.28004054A) which status is Expired.
| Name | CLARK, GRACE MOZINGO |
|---|---|
| License Number | 28004054A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |