CLARENCE W FIELDS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089479

License Status

NOT RENEWED

Business

First Name

CLARENCE

Middle

Last Name

FIELDS

Business Name

CLARENCE W FIELDS

Original Issue Date

01/14/2004

Effective Date

01/24/2005

Expiration Date

01/31/2007

City

SALEM

State

Zip

44460

Ever Disciplined

LastModifiedDate

03/16/2007