LILLIAN M CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020054

License Status

INACTIVE

Business

First Name

LILLIAN M

Last Name

CLARK

Business Name

LILLIAN M CLARK

Original Issue Date

06/28/1967

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

10/21/2005