ELLEN K CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041092059

License Status

NOT RENEWED

Business

First Name

ELLEN K

Last Name

CLARK

Business Name

ELLEN K CLARK

Original Issue Date

12/31/1958

Effective Date

12/31/1958

Expiration Date

05/31/2008

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/11/2008