PENNY ANN CLARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041596089

License Status

ACTIVE

Business

First Name

PENNY

Middle

ANN

Last Name

CLARK

Business Name

PENNY ANN CLARK

Original Issue Date

10/15/2025

Effective Date

03/22/2026

Expiration Date

05/31/2028

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/22/2026