DAVITA JACKSON CLARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015524

License Status

ACTIVE

Business

First Name

DAVITA

Last Name

JACKSON CLARK

Business Name

DAVITA JACKSON CLARK

Original Issue Date

01/25/2017

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

NORTH LAS VEGAS

State

Zip

89084

Ever Disciplined

LastModifiedDate

03/04/2026