PHYLLIS A CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041077779

License Status

INACTIVE

Business

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

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/05/2010