WYNNE M CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041253613

License Status

NOT RENEWED

Business

First Name

WYNNE M

Last Name

CLARK

Business Name

WYNNE M CLARK

Original Issue Date

09/21/1989

Effective Date

03/23/2018

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/14/2021