TIMETRA D CLARK Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

INOPERATIVE

Business

First Name

TIMETRA

Middle

Last Name

CLARK

Business Name

TIMETRA D CLARK

Original Issue Date

10/17/2022

Effective Date

10/17/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2024