DEIDRE A CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063892

License Status

NOT RENEWED

Business

First Name

DEIDRE A

Last Name

CLARK

Business Name

DEIDRE A CLARK

Original Issue Date

01/17/1987

Expiration Date

01/31/1997

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005