The holder whose full name is CLARK, MARK WAYNE,come from FAIRFIELD IL,hold the Registered Nurse license(NO.28102686A) which status is Expired.
| Name | CLARK, MARK WAYNE |
|---|---|
| License Number | 28102686A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | FAIRFIELD |
| State | IL |