MARY ANN FENTON CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025745

License Status

INACTIVE

Business

First Name

MARY ANN FENTON

Last Name

CLARK

Business Name

MARY ANN FENTON CLARK

Original Issue Date

11/10/1969

Expiration Date

01/31/1995

City

PHILADELPHIA

State

Zip

63463

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/21/2005