CRYSTAL ANN CLARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041149687

License Status

ACTIVE

Business

First Name

CRYSTAL ANN

Last Name

CLARK

Business Name

CRYSTAL ANN CLARK

Original Issue Date

10/03/1973

Effective Date

05/12/2024

Expiration Date

05/31/2026

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

02/28/2026