JAN GRAHAM CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213486

License Status

NOT RENEWED

Business

First Name

JAN GRAHAM

Last Name

CLARK

Business Name

JAN GRAHAM CLARK

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

05/31/1984

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

12/28/2006

Case Number

2006003036

Action

Refuse To Renew

Discipline Start Date

12/28/2006

Discipline Reason

after being disciplined in the state of Arizona.