JENNIFER K DECLERK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100324

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

DECLERK

Business Name

JENNIFER K DECLERK

Original Issue Date

09/12/2005

Effective Date

12/22/2010

Expiration Date

01/31/2013

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

03/20/2013