SALLY ANN CLEMENS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168874

License Status

NOT RENEWED

Business

First Name

SALLY ANN

Last Name

CLEMENS

Business Name

SALLY ANN CLEMENS

Original Issue Date

11/01/1976

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021