License holder summary

Theo Michael Clark is a Licensed Practical Nurse licensed to practice in Indiana. The address on file for Theo Michael Clark is Flat Rock IN 47234. This nurse license is current. The license was granted 09/17/1997 and expired on 10/31/2014.

Indiana

State Board of Nursing

Theo Michael Clark
Licensed Practical Nurse
License number
27044179A
Date granted
09/17/1997
Date expires
10/31/2014
Class
Licensed Practical Nurse
Status
Active
Address
Flat Rock IN 47234
nursingindiana.org
ID 6479289
LAST UPDATED 2024-02-24 18:19:43 UTC

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