CAROLYN S CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077225

License Status

NOT RENEWED

Business

First Name

CAROLYN S

Last Name

CLARK

Business Name

CAROLYN S CLARK

Original Issue Date

03/10/1995

Expiration Date

01/31/1997

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005