STACIE L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041359123

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

CLARK

Business Name

STACIE L CLARK

Original Issue Date

03/28/2007

Effective Date

03/28/2007

Expiration Date

05/31/2008

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

07/11/2008