DEBORAH A CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041265458

License Status

INACTIVE

Business

First Name

DEBORAH A

Last Name

CLARK

Business Name

DEBORAH A CLARK

Original Issue Date

09/24/1991

Effective Date

05/17/2018

Expiration Date

09/30/2020

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/08/2020