GWENDOLYN J CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158182

License Status

INACTIVE

Business

First Name

GWENDOLYN J

Last Name

CLARK

Business Name

GWENDOLYN J CLARK

Original Issue Date

12/06/1974

Effective Date

04/16/2012

Expiration Date

05/31/2014

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/06/2014