BERTHA CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028694

License Status

NOT RENEWED

Business

First Name

BERTHA

Last Name

CLARK

Business Name

BERTHA CLARK

Original Issue Date

06/29/1971

Expiration Date

01/31/1987

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005