MARY ANN CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174190

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

CLARK

Business Name

MARY ANN CLARK

Original Issue Date

06/03/1977

Effective Date

06/03/1977

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006