STACY MARIE CLARK - Registered Nurse License in Wisconsin | # 041474157

STACY MARIE CLARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041474157

License Status

NOT RENEWED

Business

N

First Name

STACY

Middle

MARIE

Last Name

CLARK

Business Name

STACY MARIE CLARK

Original Issue Date

01/22/2019

Effective Date

01/22/2019

Expiration Date

09/30/2020

State

WI

Ever Disciplined

N

LastModifiedDate

01/14/2021