HOLLY A CLARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300484

License Status

INACTIVE

Business

First Name

HOLLY

Middle

Last Name

CLARK

Business Name

HOLLY A CLARK

Original Issue Date

10/04/1996

Effective Date

03/26/2024

Expiration Date

05/31/2026

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

03/11/2026