BERTHA LILLEY CLARKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176258

License Status

NOT RENEWED

Business

First Name

BERTHA LILLEY

Last Name

CLARKE

Business Name

BERTHA LILLEY CLARKE

Original Issue Date

10/12/1977

Effective Date

03/17/2010

Expiration Date

05/31/2012

City

STONE MOUNTAIN

State

Zip

30087

County

GEORGIA

Ever Disciplined

LastModifiedDate

07/10/2012