DEANA LAVERNE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041329328

License Status

NOT RENEWED

Business

First Name

DEANA

Middle

LAVERNE

Last Name

CLARK

Business Name

DEANA LAVERNE CLARK

Original Issue Date

04/04/2002

Effective Date

04/04/2002

Expiration Date

05/31/2006

City

VALDOSTA

State

Zip

31606

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/09/2006