DIANE CLARK - Registered Nurse License in Illinois | # 041202920

DIANE CLARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041202920

License Status

NOT RENEWED

Business

N

First Name

DIANE

Last Name

CLARK

Business Name

DIANE CLARK

Original Issue Date

05/19/1981

Effective Date

05/19/1981

Expiration Date

05/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006