JENNIFER CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041138544

License Status

NOT RENEWED

Business

First Name

JENNIFER

Last Name

CLARK

Business Name

JENNIFER CLARK

Original Issue Date

01/11/1971

Effective Date

01/11/1971

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006