ELIZABETH ANN AL CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041140098

License Status

INACTIVE

Business

First Name

ELIZABETH ANN AL

Last Name

CLARK

Business Name

ELIZABETH ANN AL CLARK

Original Issue Date

08/30/1971

Effective Date

03/20/2014

Expiration Date

05/31/2016

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

03/16/2016