STACIE L CLARK - Registered Nurse License in Illinois | # 043101048

STACIE L CLARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101048

License Status

NOT RENEWED

Business

N

First Name

STACIE

Middle

L

Last Name

CLARK

Business Name

STACIE L CLARK

Original Issue Date

12/13/2005

Effective Date

11/03/2006

Expiration Date

01/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

03/17/2009