CARLA JANE CLARK - Registered Nurse License in Illinois | # 041322958

CARLA JANE CLARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041322958

License Status

NOT RENEWED

Business

N

First Name

CARLA

Middle

JANE

Last Name

CLARK

Business Name

CARLA JANE CLARK

Original Issue Date

12/18/2000

Effective Date

12/18/2000

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006