TERESA L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199741

License Status

NOT RENEWED

Business

First Name

TERESA L

Last Name

CLARK

Business Name

TERESA L CLARK

Original Issue Date

11/17/1980

Effective Date

06/18/2022

Expiration Date

06/30/2024

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/05/2025