BERTHA L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013090

License Status

NOT RENEWED

Business

First Name

BERTHA L

Last Name

CLARK

Business Name

BERTHA L CLARK

Original Issue Date

01/15/1965

Expiration Date

01/31/1993

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005