ERIC N CLARK Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010719

License Status

ACTIVE

Business

First Name

ERIC

Middle

Last Name

CLARK

Business Name

ERIC N CLARK

Original Issue Date

04/19/2011

Effective Date

11/25/2025

Expiration Date

11/30/2027

City

THOMPSONVILLE

State

Zip

62890

County

FRANKLIN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

11/25/2025