The holder whose full name is CLARK, DIEDRA DENISE,come from LAFAYETTE IN,hold the Veterinarian license(NO.24005747A) which status is Expired.
| Name | CLARK, DIEDRA DENISE |
|---|---|
| License Number | 24005747A |
| License Type | Veterinarian |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |