GERALDINE E CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041317205

License Status

NOT RENEWED

Business

First Name

GERALDINE

Middle

Last Name

CLARK

Business Name

GERALDINE E CLARK

Original Issue Date

10/21/1999

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021