DAVID E CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088652

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

CLARK

Business Name

DAVID E CLARK

Original Issue Date

08/01/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CATLIN

State

Zip

61817

County

VERMILION

Ever Disciplined

LastModifiedDate

10/21/2005