DOROTHY MAE CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041138543

License Status

INACTIVE

Business

First Name

DOROTHY MAE

Last Name

CLARK

Business Name

DOROTHY MAE CLARK

Original Issue Date

01/11/1971

Effective Date

01/11/1971

Expiration Date

05/31/1990

City

VALPARAISO

State

Zip

46283

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006