The holder whose full name is CLARK, NELLIE A,come from FT WAYNE IN,hold the Registered Nurse license(NO.28016721A) which status is Expired.
| Name | CLARK, NELLIE A |
|---|---|
| License Number | 28016721A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | FT WAYNE |
| State | IN |