The holder whose full name is CLARK, BENNIE M,come from Elkhart IN,hold the Respiratory Care Practitioner license(NO.30005778A) which status is Expired.
| Name | CLARK, BENNIE M |
|---|---|
| License Number | 30005778A |
| License Type | Respiratory Care Practitioner |
| License Status | Expired |
| City | Elkhart |
| State | IN |