CYNTHIA CAROL CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041139409

License Status

NOT RENEWED

Business

First Name

CYNTHIA CAROL

Last Name

CLARK

Business Name

CYNTHIA CAROL CLARK

Original Issue Date

06/17/1971

Effective Date

06/17/1971

Expiration Date

05/31/1986

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

09/27/2006