KEVIN CLARK VISITACION Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041358180

License Status

INACTIVE

Business

First Name

KEVIN

Middle

CLARK

Last Name

VISITACION

Business Name

KEVIN CLARK VISITACION

Original Issue Date

02/06/2007

Effective Date

04/21/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2016