ANGELA D CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113841

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

CLARK

Business Name

ANGELA D CLARK

Original Issue Date

10/31/2011

Effective Date

12/24/2012

Expiration Date

01/31/2015

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/09/2015