MARY F CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010192

License Status

INACTIVE

Business

First Name

MARY F

Last Name

CLARK

Business Name

MARY F CLARK

Original Issue Date

04/02/1962

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/21/2005