CARLA J CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041238742

License Status

NOT RENEWED

Business

First Name

CARLA J

Last Name

CLARK

Business Name

CARLA J CLARK

Original Issue Date

09/22/1986

Effective Date

05/05/2016

Expiration Date

05/31/2018

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/19/2018