HENRY CLARK JR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043068171

License Status

NOT RENEWED

Business

First Name

HENRY

Last Name

CLARK

Suffix

Business Name

HENRY CLARK JR

Original Issue Date

02/15/1990

Expiration Date

01/31/1993

City

DU QUOIN

State

Zip

62832

Ever Disciplined

LastModifiedDate

10/21/2005