JOHN AUGUSTINE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041479015

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

AUGUSTINE

Last Name

CLARK

Business Name

JOHN AUGUSTINE CLARK

Original Issue Date

05/09/2019

Effective Date

05/09/2019

Expiration Date

09/30/2020

City

WICHITA

State

Zip

67208

Ever Disciplined

LastModifiedDate

01/14/2021