DONALD L CLARK III Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019719

License Status

ACTIVE

Business

First Name

DONALD

Middle

Last Name

CLARK III

Business Name

DONALD L CLARK III

Original Issue Date

07/30/2019

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

CARBONDALE

State

Zip

62901

Ever Disciplined

LastModifiedDate

03/11/2026