PAULA ANN CLARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026157

License Status

NOT RENEWED

Business

First Name

PAULA

Middle

ANN

Last Name

CLARK

Business Name

PAULA ANN CLARK

Original Issue Date

10/13/2022

Effective Date

10/13/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

02/05/2025