KATHY CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146901

License Status

INACTIVE

Business

First Name

KATHY

Last Name

CLARK

Business Name

KATHY CLARK

Original Issue Date

12/13/1972

Effective Date

12/13/1972

City

SPRINGFIELD

State

Zip

65804

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006