ANDREA E CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071891

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

CLARK

Business Name

ANDREA E CLARK

Original Issue Date

06/18/1992

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

QUINCY

State

Zip

62305

Ever Disciplined

LastModifiedDate

10/15/2005