GARY DANIEL CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041133700

License Status

NOT RENEWED

Business

First Name

GARY DANIEL

Last Name

CLARK

Business Name

GARY DANIEL CLARK

Original Issue Date

11/26/1969

Effective Date

11/26/1969

Expiration Date

05/31/2006

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006