License holder summary

LISA R CLARK is a Nurse Registered & Licensed Practical - Rn Provisional licensed to practice in Michigan. The address on file for LISA R CLARK is Clifton Park, NY 12065. This licensed professional license is not current. The license was granted 09/02/2011 and expired on 09/02/2012.

Michigan

Department of Licensing and Regulation

LISA R CLARK
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704287391
Date granted
09/02/2011
Date expires
09/02/2012
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
Clifton Park, NY 12065
michiganlicensing.org
ID 25838558
LAST UPDATED 2024-04-04 15:56:33 UTC

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