BENJAMIN G CLARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041369635

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

CLARK

Business Name

BENJAMIN G CLARK

Original Issue Date

07/22/2008

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

03/09/2026