CELLISTINE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043024916

License Status

NOT RENEWED

Business

First Name

CELLISTINE

Last Name

CLARK

Business Name

CELLISTINE CLARK

Original Issue Date

04/01/1969

Expiration Date

01/31/1997

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005