MELISSA M CLARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005760

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

CLARK

Business Name

MELISSA M CLARK

Original Issue Date

10/19/2005

Effective Date

02/03/2009

Expiration Date

05/31/2010

City

BRANDON

State

Zip

33511

Ever Disciplined

LastModifiedDate

08/11/2010