Person Information

Name:ALISA L CLARK

Address Information

Address(city state zipcode):CHADDS FORD PA19317

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:Pediatric Acute ChronicNumber:VP003604N
Profession:NursingStatus:ActiveDate This Status:
Issue Date:10/16/1995Expires:10/31/2017Last Renewed:9/3/2015

Prerequisite Information

Licensee:CLARK, ALISA LRelationship:Self Automatic
Type:Registered NurseNumber:RN308838LStatus:Active
Date of Association:Date of Expiration:

Comments


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