KIM MARIE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043051718

License Status

NOT RENEWED

Business

First Name

KIM MARIE

Last Name

CLARK

Business Name

KIM MARIE CLARK

Original Issue Date

05/19/1981

Expiration Date

01/31/1985

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005