SUEANN E CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078088

License Status

INACTIVE

Business

First Name

SUEANN E

Last Name

CLARK

Business Name

SUEANN E CLARK

Original Issue Date

10/02/1995

Effective Date

01/25/2013

Expiration Date

01/31/2015

City

DIX

State

Zip

62830

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/07/2014