THEOLA A CLARK - Registered Nurse License in Illinois | # 041279021

THEOLA A CLARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041279021

License Status

NOT RENEWED

Business

N

First Name

THEOLA A

Last Name

CLARK

Business Name

THEOLA A CLARK

Original Issue Date

01/05/1994

Effective Date

01/05/1994

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006