SHANA M CLARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021974

License Status

NOT RENEWED

Business

First Name

SHANA

Middle

Last Name

CLARK

Business Name

SHANA M CLARK

Original Issue Date

09/11/2020

Effective Date

08/20/2022

Expiration Date

06/30/2024

City

LOUISVILLE

State

Zip

40258

Ever Disciplined

LastModifiedDate

02/05/2025