STEFANIE KAY CLARKE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

ACTIVE

Business

First Name

STEFANIE

Middle

KAY

Last Name

CLARKE

Business Name

STEFANIE KAY CLARKE

Original Issue Date

12/06/2021

Effective Date

03/04/2024

Expiration Date

05/31/2026

City

MORTON

State

Zip

61550

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026