DONNA D CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043061701

License Status

NOT RENEWED

Business

First Name

DONNA D

Last Name

CLARK

Business Name

DONNA D CLARK

Original Issue Date

07/30/1985

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005