NANCY KAY CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043126513

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

KAY

Last Name

CLARK

Business Name

NANCY KAY CLARK

Original Issue Date

11/28/2018

Effective Date

11/28/2018

Expiration Date

01/31/2021

City

SAINT DAVID

State

Zip

61563

County

FULTON

Ever Disciplined

LastModifiedDate

03/11/2021