The holder whose full name is CLARK, MARTHA JANE,come from LEWISTON ID,hold the Registered Nurse license(NO.28014890A) which status is Expired.
| Name | CLARK, MARTHA JANE |
|---|---|
| License Number | 28014890A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | LEWISTON |
| State | ID |