LUCINDA J CLARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

NOT RENEWED

Business

First Name

LUCINDA

Middle

Last Name

CLARK

Business Name

LUCINDA J CLARK

Original Issue Date

11/18/2004

Effective Date

03/08/2012

Expiration Date

05/31/2014

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014