FAY M CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041030362

License Status

INACTIVE

Business

First Name

FAY M

Last Name

CLARK

Business Name

FAY M CLARK

Original Issue Date

01/04/1936

Effective Date

01/04/1936

Expiration Date

05/31/1996

City

MANCHESTER

State

Zip

62663

County

SCOTT

Ever Disciplined

LastModifiedDate

09/27/2006