JESSICA S CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104716

License Status

INACTIVE

Business

First Name

JESSICA

Middle

Last Name

CLARK

Business Name

JESSICA S CLARK

Original Issue Date

10/30/2007

Effective Date

12/08/2008

Expiration Date

01/31/2011

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

11/03/2010