CHARLOTTE A CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070144

License Status

NOT RENEWED

Business

First Name

CHARLOTTE A

Last Name

CLARK

Business Name

CHARLOTTE A CLARK

Original Issue Date

06/13/1991

Effective Date

01/22/2019

Expiration Date

01/31/2021

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

03/11/2021