SUSAN A CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041179740

License Status

INACTIVE

Business

First Name

SUSAN A

Last Name

CLARK

Business Name

SUSAN A CLARK

Original Issue Date

04/03/1978

Effective Date

04/27/2010

Expiration Date

05/31/2012

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/08/2012