MARY S CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041038257

License Status

NOT RENEWED

Business

First Name

MARY S

Last Name

CLARK

Business Name

MARY S CLARK

Original Issue Date

01/09/1940

Effective Date

01/09/1940

Expiration Date

05/31/1986

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006