LISA KAY CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041510742

License Status

NOT RENEWED

Business

First Name

LISA

Middle

KAY

Last Name

CLARK

Business Name

LISA KAY CLARK

Original Issue Date

06/28/2021

Effective Date

06/28/2021

Expiration Date

08/31/2022

City

WILDWOOD

State

Zip

63005

Ever Disciplined

LastModifiedDate

10/14/2022