MELANIE R CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063988

License Status

INACTIVE

Business

First Name

MELANIE R

Last Name

CLARK

Business Name

MELANIE R CLARK

Original Issue Date

01/17/1987

Expiration Date

01/31/1993

City

FAIRMOUNT

State

Zip

61841

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005