VICKI J CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041285650

License Status

NOT RENEWED

Business

First Name

VICKI

Middle

Last Name

CLARK

Business Name

VICKI J CLARK

Original Issue Date

10/31/1994

Effective Date

10/31/1994

Expiration Date

05/31/2006

City

LINCOLN

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

09/27/2006

Case Number

2004007332

Action

Probation

Discipline Start Date

04/10/2005

Discipline End Date

12/01/2005

Discipline Reason

Diverted controlled substances from Crestview Medical Care.