CATHY L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079868

License Status

NOT RENEWED

Business

First Name

CATHY L

Last Name

CLARK

Business Name

CATHY L CLARK

Original Issue Date

01/15/1997

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/15/2005