PHYLLIS A CLARK - Registered Nurse License in Illinois | # 041077779

PHYLLIS A CLARK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041077779

License Status

INACTIVE

Business

N

First Name

PHYLLIS A

Last Name

CLARK

Business Name

PHYLLIS A CLARK

Original Issue Date

04/01/1954

Effective Date

03/11/2008

Expiration Date

05/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2010