PAULINE M CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016603

License Status

NOT RENEWED

Business

First Name

PAULINE M

Last Name

CLARK

Business Name

PAULINE M CLARK

Original Issue Date

10/06/1966

City

GULFPORT

State

Zip

39501

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

10/21/2005