BLONDIE J CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043067103

License Status

NOT RENEWED

Business

First Name

BLONDIE J

Last Name

CLARK

Business Name

BLONDIE J CLARK

Original Issue Date

05/26/1989

Expiration Date

01/31/1991

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

02/10/2016