NANNIE L CLARK - Registered Nurse License in Illinois | # 043035677

NANNIE L CLARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035677

License Status

NOT RENEWED

Business

N

First Name

NANNIE L

Last Name

CLARK

Business Name

NANNIE L CLARK

Original Issue Date

11/12/1974

Expiration Date

01/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005