License holder summary

Shannon N. Clark is a Registered Nurse licensed to practice in Indiana. The address on file for Shannon N. Clark is Columbia City IN 46725. This nurse license is not current. The license was granted 12/10/2004 and expired on 10/31/2009.

Indiana

State Board of Nursing

Shannon N. Clark
Registered Nurse
License number
28162476A
Date granted
12/10/2004
Date expires
10/31/2009
Class
Registered Nurse
Status
Suspended
Address
Columbia City IN 46725
nursingindiana.org
ID 7906916
LAST UPDATED 2024-03-07 11:04:21 UTC

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