JOHANNA T CLARK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019270

License Status

INACTIVE

Business

First Name

JOHANNA

Middle

Last Name

CLARK

Business Name

JOHANNA T CLARK

Original Issue Date

04/10/2019

Effective Date

04/10/2019

Expiration Date

09/30/2020

City

GRAND MOUND

State

Zip

52751

County

IOWA

Ever Disciplined

LastModifiedDate

03/08/2020