MELBA K CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076146

License Status

INACTIVE

Business

First Name

MELBA K

Last Name

CLARK

Business Name

MELBA K CLARK

Original Issue Date

09/27/1994

Expiration Date

01/31/1997

City

FAIRMOUNT

State

Zip

61841

County

VERMILION

Ever Disciplined

LastModifiedDate

10/21/2005