ANGELA M CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086694

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

CLARK

Business Name

ANGELA M CLARK

Original Issue Date

10/31/2001

Effective Date

12/01/2008

Expiration Date

01/31/2011

City

WASHBURN

State

Zip

61570

Ever Disciplined

LastModifiedDate

03/10/2011