DELOIS CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013395

License Status

INACTIVE

Business

First Name

DELOIS

Last Name

CLARK

Business Name

DELOIS CLARK

Original Issue Date

04/14/1965

Effective Date

02/03/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2010

Case Number

1991002379

Action

Probation

Discipline Start Date

02/24/1992

Discipline End Date

02/24/1993

Discipline Reason

Submitted a non-bankable remittance to the Department.