MAMIE M CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010785

License Status

NOT RENEWED

Business

First Name

MAMIE M

Last Name

CLARK

Business Name

MAMIE M CLARK

Original Issue Date

09/19/1962

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005