STEPHANIE MICHELLE CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041434647

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

MICHELLE

Last Name

CLARK

Business Name

STEPHANIE MICHELLE CLARK

Original Issue Date

09/02/2015

Effective Date

05/07/2020

Expiration Date

08/31/2022

City

SANTA ROSA BEACH

State

Zip

32459

Ever Disciplined

LastModifiedDate

07/02/2022