SALLY L CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041151325

License Status

NOT RENEWED

Business

First Name

SALLY L

Last Name

CLARK

Business Name

SALLY L CLARK

Original Issue Date

10/03/1973

Effective Date

08/18/2022

Expiration Date

06/30/2024

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/05/2025