JENNIE M CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089068

License Status

NOT RENEWED

Business

First Name

JENNIE

Middle

Last Name

CLARK

Business Name

JENNIE M CLARK

Original Issue Date

10/15/2003

Effective Date

03/08/2013

Expiration Date

01/31/2015

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

03/09/2015