JULIE A CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011175

License Status

INACTIVE

Business

First Name

JULIE A

Last Name

CLARK

Business Name

JULIE A CLARK

Original Issue Date

04/09/1963

Expiration Date

01/31/1985

City

OREANA

State

Zip

62554

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005