CHARLES D CLARK JR Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339919

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

CLARK JR

Business Name

CHARLES D CLARK JR

Original Issue Date

05/20/2004

Effective Date

04/06/2024

Expiration Date

05/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

02/28/2026