DOROTHY MAE CLARK - Registered Nurse License in Indiana | # 041138543

DOROTHY MAE CLARK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041138543

License Status

INACTIVE

Business

N

First Name

DOROTHY MAE

Last Name

CLARK

Business Name

DOROTHY MAE CLARK

Original Issue Date

01/11/1971

Effective Date

01/11/1971

Expiration Date

05/31/1990

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006