ETHEL J CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043060162

License Status

NOT RENEWED

Business

First Name

ETHEL J

Last Name

CLARK

Business Name

ETHEL J CLARK

Original Issue Date

01/22/1985

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

10/15/2005