MARYLOU CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041082980

License Status

INACTIVE

Business

First Name

MARYLOU

Last Name

CLARK

Business Name

MARYLOU CLARK

Original Issue Date

12/20/1955

Effective Date

12/20/1955

Expiration Date

05/31/1996

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/27/2006