SANDRA L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041151398

License Status

NOT RENEWED

Business

First Name

SANDRA L

Last Name

CLARK

Business Name

SANDRA L CLARK

Original Issue Date

09/24/1973

Effective Date

09/24/1973

Expiration Date

05/31/1998

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006

Case Number

1996013155

Action

Suspension

Discipline Start Date

06/09/1997

Discipline Reason

Diverting Percocet from her place of employment and failing to report for a urine screen while in treatment.