THERESA J CLARK - Registered Nurse License in Illinois | # 043045751

THERESA J CLARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045751

License Status

NOT RENEWED

Business

N

First Name

THERESA J

Last Name

CLARK

Business Name

THERESA J CLARK

Original Issue Date

01/26/1979

Expiration Date

01/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005