VIVIAN LUCILLE CLARK - Registered Nurse License in Illinois | # 043032237

VIVIAN LUCILLE CLARK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032237

License Status

INACTIVE

Business

N

First Name

VIVIAN LUCILLE

Last Name

CLARK

Business Name

VIVIAN LUCILLE CLARK

Original Issue Date

12/13/1972

Effective Date

12/01/2004

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2006