KATHY M CLARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041222222

License Status

ACTIVE

Business

First Name

KATHY M

Last Name

CLARK

Business Name

KATHY M CLARK

Original Issue Date

04/25/1984

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/01/2026