GREGORY SCOTT CLARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019721

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

SCOTT

Last Name

CLARK

Business Name

GREGORY SCOTT CLARK

Original Issue Date

07/31/2019

Effective Date

09/22/2020

Expiration Date

08/31/2022

City

MARION

State

Zip

62959

Ever Disciplined

LastModifiedDate

10/14/2022