The holder whose full name is CLARK, JERRY L,come from SOUTH BEND IN,hold the Student Hearing Aid Dealer license(NO.40002019A) which status is Expired.
| Name | CLARK, JERRY L |
|---|---|
| License Number | 40002019A |
| License Type | Student Hearing Aid Dealer |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |