MARIE R CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041078813

License Status

INACTIVE

Business

First Name

MARIE R

Last Name

CLARK

Business Name

MARIE R CLARK

Original Issue Date

11/01/1954

Effective Date

11/01/1954

City

CHAMPAIGN

State

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006