KATHLEEN SUZANNE CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043023782

License Status

INACTIVE

Business

First Name

KATHLEEN SUZANNE

Last Name

CLARK

Business Name

KATHLEEN SUZANNE CLARK

Original Issue Date

09/30/1968

Effective Date

01/08/2009

Expiration Date

01/31/2011

City

MOUNT MORRIS

State

Zip

61054

County

OGLE

Ever Disciplined

LastModifiedDate

11/03/2010