CONNIE JEAN CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041144387

License Status

INACTIVE

Business

First Name

CONNIE JEAN

Last Name

CLARK

Business Name

CONNIE JEAN CLARK

Original Issue Date

09/28/1972

Effective Date

06/01/2012

Expiration Date

05/31/2014

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/06/2014