JOSHUA T CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041419004

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

Last Name

CLARK

Business Name

JOSHUA T CLARK

Original Issue Date

03/18/2014

Effective Date

03/21/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021