MAMIE M CLARK - Registered Nurse License in Illinois | # 043010785

MAMIE M CLARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010785

License Status

NOT RENEWED

Business

N

First Name

MAMIE M

Last Name

CLARK

Business Name

MAMIE M CLARK

Original Issue Date

09/19/1962

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005