SCOTT A CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041287763

License Status

INACTIVE

Business

First Name

SCOTT A

Last Name

CLARK

Business Name

SCOTT A CLARK

Original Issue Date

03/29/1995

Effective Date

03/29/1995

Expiration Date

05/31/2006

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006