DOLORES I CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041218274

License Status

NOT RENEWED

Business

First Name

DOLORES I

Last Name

CLARK

Business Name

DOLORES I CLARK

Original Issue Date

11/08/1983

Effective Date

05/10/2016

Expiration Date

05/31/2018

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

07/19/2018