GRACE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041128587

License Status

NOT RENEWED

Business

First Name

GRACE

Last Name

CLARK

Business Name

GRACE CLARK

Original Issue Date

10/31/1968

Effective Date

10/31/1968

Expiration Date

05/31/2004

City

ALEDO

State

Zip

61231

County

MERCER

Ever Disciplined

LastModifiedDate

10/09/2006