AMANDA A CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041289939

License Status

NOT RENEWED

Business

First Name

AMANDA A

Last Name

CLARK

Business Name

AMANDA A CLARK

Original Issue Date

08/10/1995

Effective Date

08/10/1995

Expiration Date

05/31/2006

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006