JACQUELINE RUTH CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041340517

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

RUTH

Last Name

CLARK

Business Name

JACQUELINE RUTH CLARK

Original Issue Date

06/29/2004

Effective Date

03/03/2010

Expiration Date

05/31/2012

City

YUMA

State

Zip

85367

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/10/2012