WILLIE MAE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041114410

License Status

NOT RENEWED

Business

First Name

WILLIE MAE

Last Name

CLARK

Business Name

WILLIE MAE CLARK

Original Issue Date

08/24/1965

Effective Date

08/24/1965

City

BIRMINGHAM

State

Zip

35211

County

ALABAMA

Ever Disciplined

LastModifiedDate

09/27/2006