BERTHA M CLAY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017386

License Status

INACTIVE

Business

First Name

BERTHA M

Last Name

CLAY

Business Name

BERTHA M CLAY

Original Issue Date

12/19/1966

Effective Date

02/06/2003

Expiration Date

01/31/2003

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/15/2005