PATRICIA J CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080646

License Status

INACTIVE

Business

First Name

PATRICIA

Middle

Last Name

CLARK

Business Name

PATRICIA J CLARK

Original Issue Date

03/14/1997

Effective Date

11/30/2004

Expiration Date

01/31/2007

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/03/2006