MARK WAYNE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199541

License Status

NOT RENEWED

Business

First Name

MARK WAYNE

Last Name

CLARK

Business Name

MARK WAYNE CLARK

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/1994

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/10/2023