OPAL JANE CLARK - Registered Nurse License in Illinois | # 043030469

OPAL JANE CLARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030469

License Status

NOT RENEWED

Business

N

First Name

OPAL JANE

Last Name

CLARK

Business Name

OPAL JANE CLARK

Original Issue Date

04/11/1972

Expiration Date

01/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005