CAROL RENEE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041336887

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

RENEE

Last Name

CLARK

Business Name

CAROL RENEE CLARK

Original Issue Date

08/19/2003

Effective Date

06/02/2008

Expiration Date

05/31/2010

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

08/16/2010