NANETTE M CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041236473

License Status

NOT RENEWED

Business

First Name

NANETTE M

Last Name

CLARK

Business Name

NANETTE M CLARK

Original Issue Date

09/09/1986

Effective Date

09/09/1986

Expiration Date

05/31/1990

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006