MARY A CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080712

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

CLARK

Business Name

MARY A CLARK

Original Issue Date

04/11/1997

Effective Date

11/17/2004

Expiration Date

01/31/2007

City

LONG BEACH

State

Zip

90807

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

03/16/2007