RICHARD A CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041265831

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

CLARK

Business Name

RICHARD A CLARK

Original Issue Date

10/17/1991

Effective Date

03/18/2014

Expiration Date

05/31/2016

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/11/2016