KELLY CRAIN CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041352749

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

CRAIN

Last Name

CLARK

Business Name

KELLY CRAIN CLARK

Original Issue Date

06/05/2006

Effective Date

04/30/2010

Expiration Date

05/31/2012

City

RACINE

State

Zip

53402

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012