JULIE E CLARK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006276

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

Last Name

CLARK

Business Name

JULIE E CLARK

Original Issue Date

02/17/2004

Effective Date

11/12/2013

Expiration Date

11/30/2015

City

PATOKA

State

Zip

62875

County

MARION

Ever Disciplined

LastModifiedDate

01/08/2016