JESSIE E CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090215

License Status

NOT RENEWED

Business

First Name

JESSIE

Middle

Last Name

CLARK

Business Name

JESSIE E CLARK

Original Issue Date

09/10/2004

Effective Date

11/18/2004

Expiration Date

01/31/2007

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

03/16/2007