MARY A CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041122124

License Status

INACTIVE

Business

First Name

MARY A

Last Name

CLARK

Business Name

MARY A CLARK

Original Issue Date

08/21/1967

Effective Date

04/23/2010

Expiration Date

05/31/2012

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2012