MARY N CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168867

License Status

INACTIVE

Business

First Name

MARY N

Last Name

CLARK

Business Name

MARY N CLARK

Original Issue Date

11/01/1976

Effective Date

03/28/2016

Expiration Date

05/31/2018

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/06/2018