MARA M CLARKE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

INACTIVE

Business

First Name

MARA

Middle

Last Name

CLARKE

Business Name

MARA M CLARKE

Original Issue Date

03/11/2005

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

ORION

State

Zip

61273

County

HENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2025