WILLIE M CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041219561

License Status

NOT RENEWED

Business

First Name

WILLIE M

Last Name

CLARK

Business Name

WILLIE M CLARK

Original Issue Date

11/08/1983

Effective Date

11/08/1983

Expiration Date

05/31/2000

City

BEACH PARK

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006