RENAE E CLARKE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

INACTIVE

Business

First Name

RENAE

Middle

Last Name

CLARKE

Business Name

RENAE E CLARKE

Original Issue Date

08/28/2018

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

PLAINFIELD

State

Zip

60585

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2025