Kenneth Wayne Clark
ExpiredCalifornia license 756956
License
- Licensed by
- California Board of Registered Nursing
- License number
- 756956
- Status
- Expired (Delinquent)
- First issued
- August 3, 2009
- Expired
- December 31, 2022
- License holder
- Kenneth Wayne Clark
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
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Contact
1716 McCulloch Blvd S
Lake Havasu City, AZ 86406-8845
Lake Havasu City, AZ 86406-8845
Mohave County