SANDRA L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041298053

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

CLARK

Business Name

SANDRA L CLARK

Original Issue Date

07/25/1996

Effective Date

07/25/1996

Expiration Date

05/31/2002

City

COAL VALLEY

State

Zip

61240

County

HENRY

Ever Disciplined

LastModifiedDate

12/09/2008