THERESA J CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045751

License Status

NOT RENEWED

Business

First Name

THERESA J

Last Name

CLARK

Business Name

THERESA J CLARK

Original Issue Date

01/26/1979

Expiration Date

01/31/1985

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/21/2005