JAN DENISE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041203419

License Status

NOT RENEWED

Business

First Name

JAN DENISE

Last Name

CLARK

Business Name

JAN DENISE CLARK

Original Issue Date

09/16/1981

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021