BRENDA S CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041305090

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

Last Name

CLARK

Business Name

BRENDA S CLARK

Original Issue Date

08/20/1997

Effective Date

04/09/2010

Expiration Date

05/31/2012

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012