JERRY D CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074577

License Status

NOT RENEWED

Business

First Name

JERRY D

Last Name

CLARK

Business Name

JERRY D CLARK

Original Issue Date

12/15/1993

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

10/15/2005