LARRYSTINE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043033958

License Status

NOT RENEWED

Business

First Name

LARRYSTINE

Last Name

CLARK

Business Name

LARRYSTINE CLARK

Original Issue Date

02/22/1974

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005