HOLLY A CLARK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000923

License Status

INACTIVE

Business

First Name

HOLLY A

Last Name

CLARK

Business Name

HOLLY A CLARK

Original Issue Date

06/12/2001

Effective Date

06/30/2020

Expiration Date

05/31/2022

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

05/29/2020