ANNETTA M CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041018751

License Status

INACTIVE

Business

First Name

ANNETTA M

Last Name

CLARK

Business Name

ANNETTA M CLARK

Original Issue Date

09/30/1929

Effective Date

09/30/1929

Expiration Date

05/31/1984

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006