DAVITA JACKSON CLARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041309774

License Status

ACTIVE

Business

First Name

DAVITA

Last Name

JACKSON CLARK

Business Name

DAVITA JACKSON CLARK

Original Issue Date

07/24/1998

Effective Date

03/01/2026

Expiration Date

05/31/2028

City

NORTH LAS VEGAS

State

Zip

89084

Ever Disciplined

LastModifiedDate

03/01/2026