STACIE L CLARK - Registered Nurse License in Illinois | # 041359123

STACIE L CLARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041359123

License Status

NOT RENEWED

Business

N

First Name

STACIE

Middle

L

Last Name

CLARK

Business Name

STACIE L CLARK

Original Issue Date

03/28/2007

Effective Date

03/28/2007

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008