LORI J CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041225674

License Status

INACTIVE

Business

First Name

LORI J

Last Name

CLARK

Business Name

LORI J CLARK

Original Issue Date

10/09/1984

Effective Date

10/09/1984

Expiration Date

05/31/2006

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006