MICHAEL D CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078865

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

CLARK

Business Name

MICHAEL D CLARK

Original Issue Date

01/29/1996

Effective Date

02/22/1999

Expiration Date

01/31/1999

City

CICERO

State

Zip

60650

County

COOK

Ever Disciplined

LastModifiedDate

05/27/2005