REBECCA CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049767

License Status

INACTIVE

Business

First Name

REBECCA

Last Name

CLARK

Business Name

REBECCA CLARK

Original Issue Date

07/02/1980

Effective Date

02/01/2001

Expiration Date

01/31/2001

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

10/15/2005