CLARK JEFFREY INGRAM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041481319

License Status

ACTIVE

Business

First Name

CLARK

Middle

JEFFREY

Last Name

INGRAM

Business Name

CLARK JEFFREY INGRAM

Original Issue Date

07/05/2019

Effective Date

03/24/2026

Expiration Date

05/31/2028

City

CHAMPAIGN

State

Zip

61822

Ever Disciplined

LastModifiedDate

03/24/2026