SAMANTHA L CLARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123835

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

CLARK

Business Name

SAMANTHA L CLARK

Original Issue Date

03/14/2017

Effective Date

02/01/2025

Expiration Date

01/31/2027

City

PRAIRIE DU ROCHER

State

Zip

62277

County

RANDOLPH

Ever Disciplined

LastModifiedDate

02/01/2025