BETTY L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041145018

License Status

NOT RENEWED

Business

First Name

BETTY L

Last Name

CLARK

Business Name

BETTY L CLARK

Original Issue Date

09/28/1972

Effective Date

09/28/1972

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

09/27/2006