MICHAEL D CLARK - Registered Nurse License in Illinois | # 041303620

MICHAEL D CLARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303620

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

D

Last Name

CLARK

Business Name

MICHAEL D CLARK

Original Issue Date

07/02/1997

Effective Date

07/02/1997

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006