TERESA A CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041357178

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

CLARK

Business Name

TERESA A CLARK

Original Issue Date

11/14/2006

Effective Date

04/02/2012

Expiration Date

05/31/2014

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

07/03/2014