JEAN M CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011394

License Status

INACTIVE

Business

First Name

JEAN M

Last Name

CLARK

Business Name

JEAN M CLARK

Original Issue Date

07/26/1963

Expiration Date

01/31/1989

City

DELAVAN

State

Zip

61734

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005