KIMBERLY J CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077942

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

CLARK

Business Name

KIMBERLY J CLARK

Original Issue Date

09/16/1995

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CREVE COEUR

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/15/2005