RICHARD D CLARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006191

License Status

ACTIVE

Business

First Name

RICHARD

Middle

Last Name

CLARK

Business Name

RICHARD D CLARK

Original Issue Date

08/28/2006

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/03/2026