HAZEL C CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021527

License Status

INACTIVE

Business

First Name

HAZEL C

Last Name

CLARK

Business Name

HAZEL C CLARK

Original Issue Date

12/22/1967

City

CARY

State

Zip

60013

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005