MICHAEL D CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303620

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

CLARK

Business Name

MICHAEL D CLARK

Original Issue Date

07/02/1997

Effective Date

07/02/1997

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006