TIMOTHY JERUM CLARK Registered Nurse License verification

TIMOTHY JERUM CLARK

Business Entity

INACTIVE CHAPERONE REQUIRED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041575796

License Status

INACTIVE CHAPERONE REQUIRED

Business

First Name

TIMOTHY

Middle

JERUM

Last Name

CLARK

Business Name

TIMOTHY JERUM CLARK

Original Issue Date

10/25/2024

Effective Date

10/25/2024

Expiration Date

05/31/2026

City

SCRANTON

State

Zip

18509

Ever Disciplined

LastModifiedDate

01/29/2026

Case Number

2025001047

Action

Surrender (Relinquish)

Discipline Start Date

01/27/2026

Discipline Reason

registered professional nurse license has been voluntarily and permanently surrendered after Respondent plead guilty to and was convicted of one count of Harassment in Monroe County, Pennsylvania under case no. MJ-4301-CR-0000187-2022 and was resultingly disciplined by the Pennsylvania Board of Nursing; Respondent's conduct giving rise to the Harassment conviction occurred in Respondent's capacity as a certified registered nurse practitioner in Pennsylvania.