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Derrell Clark

EMT-Intermediatelapsed - failure to renewLicense I043125
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Provider Information

First Name
Derrell
Last Name
Clark
License Number
I043125
License Prefix
I
Provider Type
EMT-Intermediate
Status
lapsed - failure to renew
County
Not listed
State
GA
GEMSIS ID
fe6e7a1c-63aa-e911-8259-cccaa7913d97

Grade

Grade not yet available.

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