License holder summary

Mary Johannah Clark is a Nursing - Licensed Practical Nurse licensed to practice in Colorado. The address on file for Mary Johannah Clark is 505 E BASELINE RD, LAFAYETTE, CO, 80026-0026. This licensed professional license is not current. The license was granted 12/07/1979 and expired on 06/30/1988.

Colorado

Division of Professions and Occupations

Mary Johannah Clark
Nursing - Licensed Practical Nurse
License number
17486
Date granted
12/07/1979
Date expires
06/30/1988
Class
Nursing - Licensed Practical Nurse
Status
Expired
Address
505 E BASELINE RD, LAFAYETTE, CO, 80026-0026
coloradolicensing.org
ID 27743705
LAST UPDATED 2024-03-17 22:38:48 UTC

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