NANCY D CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041149493

License Status

INACTIVE

Business

First Name

NANCY D

Last Name

CLARK

Business Name

NANCY D CLARK

Original Issue Date

10/03/1973

Effective Date

04/12/2016

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/06/2018