DIANA J CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041259780

License Status

NOT RENEWED

Business

First Name

DIANA J

Last Name

CLARK

Business Name

DIANA J CLARK

Original Issue Date

09/29/1990

Effective Date

05/29/2012

Expiration Date

05/31/2014

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/03/2014