PORTLAND C CLARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081995

License Status

ACTIVE

Business

First Name

PORTLAND

Middle

Last Name

CLARK

Business Name

PORTLAND C CLARK

Original Issue Date

02/02/1998

Effective Date

12/02/2024

Expiration Date

01/31/2027

City

BROADVIEW

State

Zip

60155

County

COOK

Ever Disciplined

LastModifiedDate

12/02/2024