STACY MARIE CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041474157

License Status

NOT RENEWED

Business

First Name

STACY

Middle

MARIE

Last Name

CLARK

Business Name

STACY MARIE CLARK

Original Issue Date

01/22/2019

Effective Date

01/22/2019

Expiration Date

09/30/2020

City

OSHKOSH

State

Zip

54904

Ever Disciplined

LastModifiedDate

01/14/2021