A CLARK PENNYPACKER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041179845

License Status

INACTIVE

Business

First Name

A CLARK

Last Name

PENNYPACKER

Business Name

A CLARK PENNYPACKER

Original Issue Date

04/03/1978

Effective Date

04/03/1978

Expiration Date

05/31/1986

City

COLUMBIA

State

Zip

65203

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006