| Name | CRAIG D. CLARK |
|---|---|
| Address | 10561 JEFFREYS STE 230 |
| City | HENDERSON |
| State | NV |
| Zip | 89052 |
| Mailing Address | PO BOX 530308 |
| Mailing Address 2 | PO BOX 530308 |
| Mailing City | HENDRESON |
| Mailing State | NV |
| Mailing Zip | 89053 |
| Agent Type | Noncommercial Registered Agent |
| Company | CRAIG D. CLARK, M.D., PROFESSIONAL CORPORATION |
|---|---|
| Entity Number | C32047-2000 |
| NV Business ID | NV20001490048 |