ALAZAE M CLARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043135110

License Status

ACTIVE

Business

First Name

ALAZAE

Middle

Last Name

CLARK

Business Name

ALAZAE M CLARK

Original Issue Date

03/08/2024

Effective Date

01/02/2025

Expiration Date

01/31/2027

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/02/2025