JOHANNA T CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041431832

License Status

INACTIVE

Business

First Name

JOHANNA

Middle

Last Name

CLARK

Business Name

JOHANNA T CLARK

Original Issue Date

07/09/2015

Effective Date

03/12/2018

Expiration Date

09/30/2020

City

GRAND MOUND

State

Zip

52751

County

IOWA

Ever Disciplined

LastModifiedDate

03/08/2020