JENISE A CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041270804

License Status

INACTIVE

Business

First Name

JENISE

Middle

Last Name

CLARK

Business Name

JENISE A CLARK

Original Issue Date

10/06/1992

Effective Date

10/06/1992

Expiration Date

05/31/2000

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/27/2006