EVANGELINE A CLEMENT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103212

License Status

INACTIVE

Business

First Name

EVANGELINE A

Last Name

CLEMENT

Business Name

EVANGELINE A CLEMENT

Original Issue Date

06/06/1962

Effective Date

03/24/2010

Expiration Date

05/31/2012

City

BEAVERVILLE

State

Zip

60912

County

IROQUOIS

Ever Disciplined

LastModifiedDate

03/08/2012