KELLY L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041301264

License Status

NOT RENEWED

Business

First Name

KELLY L

Last Name

CLARK

Business Name

KELLY L CLARK

Original Issue Date

12/11/1996

Effective Date

03/27/2012

Expiration Date

05/31/2014

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

07/03/2014