MICHAEL A CLARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112141

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

CLARK

Business Name

MICHAEL A CLARK

Original Issue Date

02/15/2011

Effective Date

01/17/2025

Expiration Date

01/31/2027

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

01/17/2025