KATHLEEN M CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041290327

License Status

NOT RENEWED

Business

First Name

KATHLEEN M

Last Name

CLARK

Business Name

KATHLEEN M CLARK

Original Issue Date

08/08/1995

Effective Date

08/08/1995

Expiration Date

05/31/2000

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006