STACIE L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101048

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

CLARK

Business Name

STACIE L CLARK

Original Issue Date

12/13/2005

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

03/17/2009