EVA T CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041042478

License Status

NOT RENEWED

Business

First Name

EVA T

Last Name

CLARK

Business Name

EVA T CLARK

Original Issue Date

04/03/1980

Effective Date

05/30/2012

Expiration Date

05/31/2014

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014