V LUCILLE CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041076698

License Status

INACTIVE

Business

First Name

V LUCILLE

Last Name

CLARK

Business Name

V LUCILLE CLARK

Original Issue Date

01/01/1997

Effective Date

04/12/2010

Expiration Date

05/31/2012

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/08/2012