NAOMI R CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041082895

License Status

NOT RENEWED

Business

First Name

NAOMI R

Last Name

CLARK

Business Name

NAOMI R CLARK

Original Issue Date

12/07/1955

Effective Date

12/07/1955

Expiration Date

05/31/2006

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/09/2006