SHANA M CLARK - Advanced Practice Nurse License in Kentucky | # 209021974

SHANA M CLARK

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021974

License Status

NOT RENEWED

Business

N

First Name

SHANA

Middle

M

Last Name

CLARK

Business Name

SHANA M CLARK

Original Issue Date

09/11/2020

Effective Date

08/20/2022

Expiration Date

06/30/2024

State

KY

Ever Disciplined

N

LastModifiedDate

02/05/2025