NICHOLLE A CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043124620

License Status

NOT RENEWED

Business

First Name

NICHOLLE

Middle

Last Name

CLARK

Business Name

NICHOLLE A CLARK

Original Issue Date

09/21/2017

Effective Date

01/14/2019

Expiration Date

01/31/2021

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/11/2021