KELLY CRAIN CLARK - Advanced Practice Nurse License in Wisconsin | # 209008033

KELLY CRAIN CLARK

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008033

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

CRAIN

Last Name

CLARK

Business Name

KELLY CRAIN CLARK

Original Issue Date

02/09/2010

Effective Date

08/18/2010

Expiration Date

05/31/2012

State

WI

Ever Disciplined

N

LastModifiedDate

07/10/2012