HOLLY A CLARK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

INACTIVE

Business

First Name

HOLLY A

Last Name

CLARK

Business Name

HOLLY A CLARK

Original Issue Date

02/04/2003

Effective Date

07/29/2020

Expiration Date

05/31/2022

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/29/2020