CAROL RENEE CLARK - Registered Nurse License in Indiana | # 041336887

CAROL RENEE CLARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041336887

License Status

NOT RENEWED

Business

N

First Name

CAROL

Middle

RENEE

Last Name

CLARK

Business Name

CAROL RENEE CLARK

Original Issue Date

08/19/2003

Effective Date

06/02/2008

Expiration Date

05/31/2010

State

IN

Ever Disciplined

N

LastModifiedDate

08/16/2010