JENISE A CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071718

License Status

NOT RENEWED

Business

First Name

JENISE

Middle

Last Name

CLARK

Business Name

JENISE A CLARK

Original Issue Date

04/13/1992

Expiration Date

01/31/1993

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

02/24/2010