CAROLYN R CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041126195

License Status

NOT RENEWED

Business

First Name

CAROLYN R

Last Name

CLARK

Business Name

CAROLYN R CLARK

Original Issue Date

07/15/1968

Effective Date

07/15/1968

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006