MARK WAYNE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045255

License Status

NOT RENEWED

Business

First Name

MARK WAYNE

Last Name

CLARK

Business Name

MARK WAYNE CLARK

Original Issue Date

01/26/1979

Expiration Date

05/01/1982

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

10/21/2005