CAROLYN A CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041261668

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

CLARK

Business Name

CAROLYN A CLARK

Original Issue Date

04/22/1991

Effective Date

02/18/2009

Expiration Date

05/31/2010

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

08/16/2010