JUDY L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042059

License Status

NOT RENEWED

Business

First Name

JUDY L

Last Name

CLARK

Business Name

JUDY L CLARK

Original Issue Date

07/08/1977

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005