ANN E CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065621

License Status

NOT RENEWED

Business

First Name

ANN E

Last Name

CLARK

Business Name

ANN E CLARK

Original Issue Date

01/16/1988

Effective Date

04/08/2015

Expiration Date

01/31/2017

City

PEORIA

State

Zip

61653

County

PEORIA

Ever Disciplined

LastModifiedDate

03/27/2017