AMY S CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041353553

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

CLARK

Business Name

AMY S CLARK

Original Issue Date

07/21/2006

Effective Date

03/18/2020

Expiration Date

08/31/2022

City

CHANA

State

Zip

61015

County

OGLE

Ever Disciplined

LastModifiedDate

10/14/2022