JEANNINE M COQUILLETTE-CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041099853

License Status

NOT RENEWED

Business

First Name

JEANNINE M

Last Name

COQUILLETTE-CLARK

Business Name

JEANNINE M COQUILLETTE-CLARK

Original Issue Date

04/25/1961

Effective Date

05/17/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012