DIANE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041202920

License Status

NOT RENEWED

Business

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

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006