JAMES PAUL CLARK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002088

License Status

NOT RENEWED

Business

First Name

JAMES PAUL

Last Name

CLARK

Business Name

JAMES PAUL CLARK

Original Issue Date

06/09/1992

Expiration Date

01/01/1998

City

HANNIBAL

State

Zip

63401

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/31/2005