TIMOTHY JERUM CLARK Registered Nurse License verification

TIMOTHY JERUM CLARK

Business Entity

INACTIVE CHAPERONE REQUIRED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041575796

License Status

INACTIVE CHAPERONE REQUIRED

Business

First Name

TIMOTHY

Middle

JERUM

Last Name

CLARK

Business Name

TIMOTHY JERUM CLARK

Original Issue Date

10/25/2024

Effective Date

10/25/2024

Expiration Date

05/31/2026

State

Ever Disciplined

LastModifiedDate

01/29/2026

Case Number

2025000970

Action

Chaperone Required

Discipline Start Date

01/30/2025

Discipline Reason

Due to a pending criminal case, the licensee can only practice with a chaperone present during all patient encounters pending the outcome of the criminal proceedings. The licensee is presumed innocent until proven guilty of the charges.