KATHLEEN R CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076109

License Status

NOT RENEWED

Business

First Name

KATHLEEN R

Last Name

CLARK

Business Name

KATHLEEN R CLARK

Original Issue Date

09/20/1994

Effective Date

01/13/2011

Expiration Date

01/31/2013

City

ELSAH

State

Zip

62028

County

JERSEY

Ever Disciplined

LastModifiedDate

03/20/2013