CLYDIA CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028039

License Status

INACTIVE

Business

First Name

CLYDIA

Last Name

CLARK

Business Name

CLYDIA CLARK

Original Issue Date

02/24/1971

Effective Date

11/20/2016

Expiration Date

01/31/2019

City

STILLMAN VALLEY

State

Zip

61084

County

OGLE

Ever Disciplined

LastModifiedDate

11/14/2018