KIMBERLY L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062978

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

CLARK

Business Name

KIMBERLY L CLARK

Original Issue Date

04/14/1986

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/15/2005