CRYSTAL SUE CLARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****78

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

SUE

Last Name

CLARK

Business Name

CRYSTAL SUE CLARK

Original Issue Date

12/18/2020

Effective Date

06/04/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/02/2026