MARIANNE CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035239

License Status

INACTIVE

Business

First Name

MARIANNE

Last Name

CLARK

Business Name

MARIANNE CLARK

Original Issue Date

09/11/1974

City

BLUE MOUND

State

Zip

62513

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005