MARY C CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010391

License Status

INACTIVE

Business

First Name

MARY C

Last Name

CLARK

Business Name

MARY C CLARK

Original Issue Date

04/02/1962

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005