HAZEL P CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043771

License Status

NOT RENEWED

Business

First Name

HAZEL P

Last Name

CLARK

Business Name

HAZEL P CLARK

Original Issue Date

02/14/1978

Expiration Date

01/31/1985

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005