KATHLEEN M CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041338800

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

CLARK

Business Name

KATHLEEN M CLARK

Original Issue Date

01/21/2004

Effective Date

01/21/2004

Expiration Date

05/31/2006

City

SHILOH

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006