CARLA JANE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041322958

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

JANE

Last Name

CLARK

Business Name

CARLA JANE CLARK

Original Issue Date

12/18/2000

Effective Date

12/18/2000

Expiration Date

05/31/2004

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006