LEA L CLARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021458

License Status

ACTIVE

Business

First Name

LEA

Middle

Last Name

CLARK

Business Name

LEA L CLARK

Original Issue Date

06/19/2020

Effective Date

03/14/2024

Expiration Date

05/31/2026

City

MAQUON

State

Zip

61458

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026