CATHY J CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057146

License Status

NOT RENEWED

Business

First Name

CATHY J

Last Name

CLARK

Business Name

CATHY J CLARK

Original Issue Date

05/09/1983

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

03/17/2009