BETTY L CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041082645

License Status

INACTIVE

Business

First Name

BETTY L

Last Name

CLARK

Business Name

BETTY L CLARK

Original Issue Date

12/01/1955

Effective Date

04/23/2010

Expiration Date

05/31/2012

City

LOVINGTON

State

Zip

61937

County

MOULTRIE

Ever Disciplined

LastModifiedDate

03/08/2012