KELLY R CLARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041335374

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

CLARK

Business Name

KELLY R CLARK

Original Issue Date

06/19/2003

Effective Date

04/24/2024

Expiration Date

05/31/2026

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

03/01/2026