MARY ANN CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041110530

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

CLARK

Business Name

MARY ANN CLARK

Original Issue Date

08/04/1964

Effective Date

04/12/2010

Expiration Date

05/31/2012

City

BROOMFIELD

State

Zip

80020

County

COLORADO

Ever Disciplined

LastModifiedDate

03/08/2012