DOROTHY CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043006508

License Status

NOT RENEWED

Business

First Name

DOROTHY

Last Name

CLARK

Business Name

DOROTHY CLARK

Original Issue Date

01/21/1955

Expiration Date

05/01/1982

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005