ANTHONY DAVID BROOKS CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074162

License Status

NOT RENEWED

Business

First Name

ANTHONY DAVID

Last Name

BROOKS CLARK

Business Name

ANTHONY DAVID BROOKS CLARK

Original Issue Date

10/28/1993

Effective Date

10/15/2015

Expiration Date

01/31/2017

City

TULSA

State

Zip

74106

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

03/27/2017