GRACE CLARK - Registered Nurse License in New Mexico | # 043015875

GRACE CLARK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015875

License Status

INACTIVE

Business

N

First Name

GRACE

Last Name

CLARK

Business Name

GRACE CLARK

Original Issue Date

09/02/1966

State

NM

Ever Disciplined

N

LastModifiedDate

10/21/2005