ANNIE L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016601

License Status

NOT RENEWED

Business

First Name

ANNIE L

Last Name

CLARK

Business Name

ANNIE L CLARK

Original Issue Date

10/06/1966

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

10/15/2005