AMANDA N CLARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

CLARK

Business Name

AMANDA N CLARK

Original Issue Date

12/13/2024

Effective Date

12/13/2024

Expiration Date

05/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026