MARY A J CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041062334

License Status

NOT RENEWED

Business

First Name

MARY A J

Last Name

CLARK

Business Name

MARY A J CLARK

Original Issue Date

11/12/1948

Effective Date

11/12/1948

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/27/2006