KENDRICK TERRILL CLACK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

NOT RENEWED

Business

First Name

KENDRICK

Middle

TERRILL

Last Name

CLACK

Business Name

KENDRICK TERRILL CLACK

Original Issue Date

04/20/2016

Effective Date

04/20/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018