VIRGINIA M CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043064705

License Status

NOT RENEWED

Business

First Name

VIRGINIA M

Last Name

CLARK

Business Name

VIRGINIA M CLARK

Original Issue Date

07/29/1987

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

10/15/2005