NICHOLLE A CLARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041485114

License Status

ACTIVE

Business

First Name

NICHOLLE

Middle

Last Name

CLARK

Business Name

NICHOLLE A CLARK

Original Issue Date

09/03/2019

Effective Date

06/26/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/01/2026