SHAMMONA SHALISA CLARK

Business Entity
ACTIVE

Advanced Practice Nurse

FULL PRACTICE AUTHORITY APRN CONTROL SUB

37*****12

ACTIVE

N

SHAMMONA

SHALISA

CLARK

SHAMMONA SHALISA CLARK

10/20/2020

03/15/2026

05/31/2028

CHICAGO

IL

60616

N

03/15/2026