MARK CLARK KILLEBREW - Registered Nurse License in Kentucky | # 041301930

MARK CLARK KILLEBREW

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041301930

License Status

INACTIVE

Business

N

First Name

MARK CLARK

Last Name

KILLEBREW

Business Name

MARK CLARK KILLEBREW

Original Issue Date

03/01/1997

Effective Date

03/01/1997

Expiration Date

05/31/2002

State

KY

Ever Disciplined

N

LastModifiedDate

10/09/2006