CLAUDETTE B CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041249313

License Status

NOT RENEWED

Business

First Name

CLAUDETTE B

Last Name

CLARK

Business Name

CLAUDETTE B CLARK

Original Issue Date

09/27/1988

Effective Date

05/31/2018

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1996000692

Action

Suspension

Discipline Start Date

07/25/1996

Discipline End Date

07/31/1997

Discipline Reason

Fraudulently passing illegal prescriptions to pharmacies, and being arrested and charged with unlawful acquisition of controlled substances.