WILMA J CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041063058

License Status

INACTIVE

Business

First Name

WILMA J

Last Name

CLARK

Business Name

WILMA J CLARK

Original Issue Date

12/20/1948

Effective Date

04/29/2010

Expiration Date

05/31/2012

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/08/2012