CLARENCE C FARRIS JR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148206

License Status

NOT RENEWED

Business

First Name

CLARENCE C

Last Name

FARRIS JR

Business Name

CLARENCE C FARRIS JR

Original Issue Date

04/16/1973

Effective Date

04/16/1973

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006