CARRIE Z CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026485

License Status

NOT RENEWED

Business

First Name

CARRIE Z

Last Name

CLARK

Business Name

CARRIE Z CLARK

Original Issue Date

04/13/1970

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

CENTERVILLE

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/17/2009