CRYSTAL SUE CLARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277001196

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

SUE

Last Name

CLARK

Business Name

CRYSTAL SUE CLARK

Original Issue Date

12/18/2020

Effective Date

06/04/2024

Expiration Date

05/31/2026

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

03/02/2026