NameANDREA NICOLE CLARK
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.03020- Ohio Certified Dialysis Technician 09/30/2009 09/30/2009 03/31/2011 LAPSED
IP.408836-MEDS Practical Nurse w/MEDS- Temporary Work Permit 09/02/2010 09/02/2010 03/02/2011 CLOSED License Issued
PN.141456-M-IV Licensed Practical Nurse - M-IV 09/09/2010 08/25/2014 08/31/2016 ACTIVE Endorsement
TC1.03020- Temporary Dialysis Certificate 1 06/18/2008 06/18/2008 04/01/2009 EXPIRED
TC2.03020- Temporary Dialysis Certificate 2 04/02/2009 04/02/2009 10/01/2009 CLOSED

Comments


search At least 3 letters.