Indiana
Professional Licensing Agency
JERROLD ALAN CLARK
Physician
License number
01032208A
Date granted
11/17/1982
Date expires
06/30/1986
Class
Physician
Status
Expired Non-Renewable
Address
NEWBURGH IN 47630
indianalicensing.org
ID 6088749
LAST UPDATED 2024-02-25 23:31:26 UTC
LAST UPDATED 2024-02-25 23:31:26 UTC
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