MILDRED M CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021305

License Status

NOT RENEWED

Business

First Name

MILDRED M

Last Name

CLARK

Business Name

MILDRED M CLARK

Original Issue Date

12/07/1967

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005