JENNIFER M CLARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023558

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

CLARK

Business Name

JENNIFER M CLARK

Original Issue Date

07/09/2021

Effective Date

03/23/2026

Expiration Date

05/31/2028

City

TROY

State

Zip

62294

County

MADISON

Specialty/Qualifier

BACCALAUREATE

Ever Disciplined

LastModifiedDate

03/23/2026