DORIS J CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041091202

License Status

INACTIVE

Business

First Name

DORIS J

Last Name

CLARK

Business Name

DORIS J CLARK

Original Issue Date

11/07/1958

Effective Date

11/07/1958

Expiration Date

05/31/2000

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006