JAIME S CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115516

License Status

NOT RENEWED

Business

First Name

JAIME

Middle

Last Name

CLARK

Business Name

JAIME S CLARK

Original Issue Date

09/06/2012

Effective Date

01/07/2013

Expiration Date

01/31/2015

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

03/09/2015