MARY SUE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039422

License Status

NOT RENEWED

Business

First Name

MARY SUE

Last Name

CLARK

Business Name

MARY SUE CLARK

Original Issue Date

06/11/1976

Expiration Date

01/31/1985

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/21/2005