MARY S CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041217869

License Status

NOT RENEWED

Business

First Name

MARY S

Last Name

CLARK

Business Name

MARY S CLARK

Original Issue Date

11/08/1983

Effective Date

05/29/2018

Expiration Date

09/30/2020

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

01/14/2021