Shannon N. Clark
Registered Nurse
Indiana 28162476A Suspended
This Indiana license was held by Shannon N. Clark. The license is no longer active. It was granted on 12/10/2004 and expired on 10/31/2009
LICENSE DETAILS
- License Number: 28162476A
- Category: Registered Nurse
- Status: Suspended
- Date Granted: 12/10/2004 (over 19 years ago)
- Expiry Date: 10/31/2009 (over 14 years ago)
LOCATIONS
A Address
Columbia City IN 46725