PERI NICHOLE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117318

License Status

NOT RENEWED

Business

First Name

PERI

Middle

NICHOLE

Last Name

CLARK

Business Name

PERI NICHOLE CLARK

Original Issue Date

08/14/2013

Effective Date

08/14/2013

Expiration Date

01/31/2015

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

03/09/2015