NANCY L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040257

License Status

NOT RENEWED

Business

First Name

NANCY L

Last Name

CLARK

Business Name

NANCY L CLARK

Original Issue Date

02/02/1977

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005