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Willie Clark

EMTlapsed - failure to renewLicense E000296
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Provider Information

First Name
Willie
Last Name
Clark
License Number
E000296
License Prefix
E
Provider Type
EMT
Status
lapsed - failure to renew
County
Not listed
State
GA
GEMSIS ID
3592891b-63aa-e911-8259-cccaa7913d97

Grade

Grade not yet available.

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