ROBERTA A CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043050801

License Status

INACTIVE

Business

First Name

ROBERTA A

Last Name

CLARK

Business Name

ROBERTA A CLARK

Original Issue Date

01/08/1981

Expiration Date

05/01/1982

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005