MARK CLARK KILLEBREW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041301930

License Status

INACTIVE

Business

First Name

MARK CLARK

Last Name

KILLEBREW

Business Name

MARK CLARK KILLEBREW

Original Issue Date

03/01/1997

Effective Date

03/01/1997

Expiration Date

05/31/2002

City

LOUISVILLE

State

Zip

40219

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/09/2006