STEPHANIE K CLARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209024514

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

CLARK

Business Name

STEPHANIE K CLARK

BusinessDBA

STEPHANIE LUCAS

Original Issue Date

12/09/2021

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026