MICHAEL D CLARK - Registered Nurse License in Illinois | # 043078865

MICHAEL D CLARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078865

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

D

Last Name

CLARK

Business Name

MICHAEL D CLARK

Original Issue Date

01/29/1996

Effective Date

02/22/1999

Expiration Date

01/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005