DIANNA JEAN CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041132131

License Status

NOT RENEWED

Business

First Name

DIANNA JEAN

Last Name

CLARK

Business Name

DIANNA JEAN CLARK

Original Issue Date

01/01/1997

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

01/14/2021