LARRYSTINE CLARK - Registered Nurse License in Illinois | # 043033958

LARRYSTINE CLARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043033958

License Status

NOT RENEWED

Business

N

First Name

LARRYSTINE

Last Name

CLARK

Business Name

LARRYSTINE CLARK

Original Issue Date

02/22/1974

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005