ZENOBIA C CLARK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

INACTIVE

Business

First Name

ZENOBIA

Middle

Last Name

CLARK

Business Name

ZENOBIA C CLARK

Original Issue Date

04/29/2015

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2024