TIFFANY NICOLE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041457786

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

NICOLE

Last Name

CLARK

Business Name

TIFFANY NICOLE CLARK

Original Issue Date

09/05/2017

Effective Date

09/09/2021

Expiration Date

12/31/2021

City

KILLEEN

State

Zip

76542

County

TEXAS

Ever Disciplined

LastModifiedDate

10/14/2022