TRACY LYN CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041314864

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

LYN

Last Name

CLARK

Business Name

TRACY LYN CLARK

Original Issue Date

07/14/1999

Effective Date

04/30/2020

Expiration Date

08/31/2022

City

DAVENPORT

State

Zip

52804

County

IOWA

Ever Disciplined

LastModifiedDate

10/14/2022