JEFFREY D CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041295744

License Status

NOT RENEWED

Business

First Name

JEFFREY D

Last Name

CLARK

Business Name

JEFFREY D CLARK

Original Issue Date

03/14/1996

Effective Date

03/14/1996

Expiration Date

05/31/1998

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006