SHAMMONA SHALISA CLARK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020109

License Status

INACTIVE

Business

First Name

SHAMMONA

Middle

SHALISA

Last Name

CLARK

Business Name

SHAMMONA SHALISA CLARK

Original Issue Date

09/23/2019

Effective Date

08/27/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60616

Ever Disciplined

LastModifiedDate

04/27/2020