SUSAN R CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041341691

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

CLARK

Business Name

SUSAN R CLARK

Original Issue Date

08/09/2004

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

FLORISSANT

State

Zip

80816

County

LAWRENCE

Ever Disciplined

LastModifiedDate

07/19/2018