KATHLEEN ANN BUR CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041152507

License Status

NOT RENEWED

Business

First Name

KATHLEEN ANN BUR

Last Name

CLARK

Business Name

KATHLEEN ANN BUR CLARK

Original Issue Date

10/23/1973

Effective Date

10/23/1973

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006