LORI ANNE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041314355

License Status

NOT RENEWED

Business

First Name

LORI

Middle

ANNE

Last Name

CLARK

Business Name

LORI ANNE CLARK

Original Issue Date

05/14/1999

Effective Date

05/14/1999

Expiration Date

05/31/2008

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/11/2008