DORA J CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041336621

License Status

NOT RENEWED

Business

First Name

DORA

Middle

Last Name

CLARK

Business Name

DORA J CLARK

Original Issue Date

08/08/2003

Effective Date

05/21/2012

Expiration Date

05/31/2014

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/03/2014