STEPHANIE N CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043111140

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

CLARK

Business Name

STEPHANIE N CLARK

Original Issue Date

09/21/2010

Effective Date

01/28/2015

Expiration Date

01/31/2017

City

CEDAR LAKE

State

Zip

46303

County

LAKE

Ever Disciplined

LastModifiedDate

03/27/2017