ANNETTE MARIE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041479612

License Status

NOT RENEWED

Business

First Name

ANNETTE

Middle

MARIE

Last Name

CLARK

Business Name

ANNETTE MARIE CLARK

Original Issue Date

05/29/2019

Effective Date

05/14/2022

Expiration Date

06/30/2024

City

FRAZEYSBURG

State

Zip

43822

Ever Disciplined

LastModifiedDate

02/05/2025