BRENDA JILL CLARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

JILL

Last Name

CLARK

Business Name

BRENDA JILL CLARK

Original Issue Date

10/02/2015

Effective Date

10/02/2015

Expiration Date

05/31/2016

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/11/2016