CHARLES D CLARK JR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088896

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

CLARK JR

Business Name

CHARLES D CLARK JR

Original Issue Date

09/15/2003

Effective Date

11/18/2004

Expiration Date

01/31/2007

City

GLEN CARBON

State

Zip

62034

Ever Disciplined

LastModifiedDate

03/16/2007