STACY A CLARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041332629

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

CLARK

Business Name

STACY A CLARK

Original Issue Date

09/27/2002

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

02/28/2026