SUSAN M CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176273

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

CLARK

Business Name

SUSAN M CLARK

Original Issue Date

10/12/1977

Effective Date

09/15/2020

Expiration Date

08/31/2022

City

ANCONA

State

Zip

61311

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/14/2022