SHONDA T CLARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

NOT RENEWED

Business

First Name

SHONDA

Middle

Last Name

CLARK

Business Name

SHONDA T CLARK

Original Issue Date

08/11/2015

Effective Date

05/06/2022

Expiration Date

06/30/2024

City

MATTESON

State

Zip

60443

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025