CAROLYN A CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062096

License Status

INACTIVE

Business

First Name

CAROLYN

Middle

Last Name

CLARK

Business Name

CAROLYN A CLARK

Original Issue Date

01/10/1986

Expiration Date

01/31/1993

City

EDDYVILLE

State

Zip

62928

County

POPE

Ever Disciplined

LastModifiedDate

10/21/2005