NANNIE L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035677

License Status

NOT RENEWED

Business

First Name

NANNIE L

Last Name

CLARK

Business Name

NANNIE L CLARK

Original Issue Date

11/12/1974

Expiration Date

01/31/1995

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005