SHAMMONA SHALISA CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102779

License Status

NOT RENEWED

Business

First Name

SHAMMONA

Middle

SHALISA

Last Name

CLARK

Business Name

SHAMMONA SHALISA CLARK

Original Issue Date

11/21/2006

Effective Date

01/29/2013

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60616

Ever Disciplined

LastModifiedDate

03/09/2015