CAROL L CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041186753

License Status

INACTIVE

Business

First Name

CAROL L

Last Name

CLARK

Business Name

CAROL L CLARK

Original Issue Date

02/20/1979

Effective Date

02/20/1979

Expiration Date

05/31/1986

City

INDIANAPOLIS

State

Zip

46219

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006