HEATHER CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043128360

License Status

NOT RENEWED

Business

First Name

HEATHER

Last Name

CLARK

Business Name

HEATHER CLARK

Original Issue Date

01/14/2020

Effective Date

01/14/2020

Expiration Date

01/31/2021

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

03/11/2021