VIVIAN LUCILLE CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032237

License Status

INACTIVE

Business

First Name

VIVIAN LUCILLE

Last Name

CLARK

Business Name

VIVIAN LUCILLE CLARK

Original Issue Date

12/13/1972

Effective Date

12/01/2004

Expiration Date

01/31/2007

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/03/2006