GRACE CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015875

License Status

INACTIVE

Business

First Name

GRACE

Last Name

CLARK

Business Name

GRACE CLARK

Original Issue Date

09/02/1966

City

ALBUQUERQUE

State

Zip

87106

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/21/2005