ANASTASIA D CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043091222

License Status

NOT RENEWED

Business

First Name

ANASTASIA

Middle

Last Name

CLARK

Business Name

ANASTASIA D CLARK

Original Issue Date

03/23/2005

Effective Date

02/02/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011