License holder summary

BRIAN DOUGLAS CLARK is a Nurse Registered & Licensed Practical - Nurse Anesthetist licensed to practice in Michigan. The address on file for BRIAN DOUGLAS CLARK is Portage, MI 49002. This licensed professional license is current. The license was granted 06/29/2005 and expired on 03/31/2016.

Michigan

Department of Licensing and Regulation

BRIAN DOUGLAS CLARK
Nurse Registered & Licensed Practical - Nurse Anesthetist
License number
4704219567
Date granted
06/29/2005
Date expires
03/31/2016
Class
Nurse Registered & Licensed Practical - Nurse Anesthetist
Status
Active
Address
Portage, MI 49002
michiganlicensing.org
ID 25851114
LAST UPDATED 2024-03-08 08:40:20 UTC

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