ROBERTA A CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041206216

License Status

INACTIVE

Business

First Name

ROBERTA A

Last Name

CLARK

Business Name

ROBERTA A CLARK

Original Issue Date

10/08/1981

Effective Date

03/25/2010

Expiration Date

05/31/2012

City

FT MYERS BEACH

State

Zip

33931

County

FLORIDA

Ever Disciplined

LastModifiedDate

03/08/2012