MADISON MAKENA CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041459416

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

MAKENA

Last Name

CLARK

Business Name

MADISON MAKENA CLARK

Original Issue Date

10/20/2017

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

GROVELAND

State

Zip

61535

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/14/2021