LYDIA MOURNING CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026033

License Status

INACTIVE

Business

First Name

LYDIA MOURNING

Last Name

CLARK

Business Name

LYDIA MOURNING CLARK

Original Issue Date

02/02/1970

Expiration Date

05/01/1982

City

AURORA

State

Zip

65605

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/21/2005