DIANA KAYE CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021279

License Status

INACTIVE

Business

First Name

DIANA KAYE

Last Name

CLARK

Business Name

DIANA KAYE CLARK

Original Issue Date

12/07/1967

Effective Date

11/29/2004

Expiration Date

01/31/2005

City

KELL

State

Zip

62853

County

MARION

Ever Disciplined

LastModifiedDate

10/15/2005