ELLEN B CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176692

License Status

INACTIVE

Business

First Name

ELLEN B

Last Name

CLARK

Business Name

ELLEN B CLARK

Original Issue Date

10/12/1977

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020

Case Number

1987002078

Action

Probation

Discipline Start Date

10/28/1988

Discipline End Date

04/17/1991