MELISSA M CLARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

CLARK

Business Name

MELISSA M CLARK

Original Issue Date

11/09/2005

Effective Date

11/09/2005

Expiration Date

05/31/2008

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

07/11/2008