LISA R CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041405361

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

CLARK

Business Name

LISA R CLARK

Original Issue Date

08/22/2012

Effective Date

08/22/2012

Expiration Date

05/31/2014

City

CLIFTON PARK

State

Zip

12065

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/03/2014