Fay M Clark
InactiveIllinois license 041030362
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041030362
- Status
- Inactive
- First issued
- January 4, 1936
- Expired
- May 31, 1996
- License holder
- Fay M Clark
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 01/04/1936
Contact
Manchester, IL 62663
Scott County