KATY L CLARK Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004707

License Status

ACTIVE

Business

First Name

KATY

Middle

Last Name

CLARK

Business Name

KATY L CLARK

Original Issue Date

05/01/2025

Effective Date

05/01/2025

Expiration Date

05/01/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/01/2025