JERRY D CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041281889

License Status

NOT RENEWED

Business

First Name

JERRY D

Last Name

CLARK

Business Name

JERRY D CLARK

Original Issue Date

07/09/1994

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/14/2021