BRENDA JILL CLARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012960

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

JILL

Last Name

CLARK

Business Name

BRENDA JILL CLARK

Original Issue Date

07/21/2015

Effective Date

07/21/2015

Expiration Date

05/31/2016

City

OSKALOOSA

State

Zip

52577

County

IOWA

Ever Disciplined

LastModifiedDate

07/11/2016