MELBA K CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041292258

License Status

NOT RENEWED

Business

First Name

MELBA K

Last Name

CLARK

Business Name

MELBA K CLARK

Original Issue Date

09/16/1995

Effective Date

05/14/2012

Expiration Date

05/31/2014

City

PALESTINE

State

Zip

62451

County

CRAWFORD

Ever Disciplined

LastModifiedDate

07/03/2014