MARY J CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041160264

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

CLARK

Business Name

MARY J CLARK

Original Issue Date

05/05/1975

Effective Date

05/05/1975

Expiration Date

05/31/1996

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

09/27/2006