SHELLY L CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041244622

License Status

INACTIVE

Business

First Name

SHELLY L

Last Name

CLARK

Business Name

SHELLY L CLARK

Original Issue Date

10/02/1987

Effective Date

10/02/1987

Expiration Date

05/31/1990

City

FAIR OAKS

State

Zip

95628

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/27/2006