FAITH K CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041261248

License Status

NOT RENEWED

Business

First Name

FAITH K

Last Name

CLARK

Business Name

FAITH K CLARK

Original Issue Date

01/22/1991

Effective Date

01/22/1991

Expiration Date

05/31/1992

City

PATOKA

State

Zip

47666

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006