OPAL JANE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030469

License Status

NOT RENEWED

Business

First Name

OPAL JANE

Last Name

CLARK

Business Name

OPAL JANE CLARK

Original Issue Date

04/11/1972

Expiration Date

01/31/1989

City

MAROA

State

Zip

61756

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005