Person Information

Name:KAREN SHEPARD CLARK

Address Information

Address(city state zipcode):Cogan Station PA17728

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:GerontologyNumber:TP003017H
Profession:NursingStatus:ActiveDate This Status:11/1/2004
Issue Date:7/27/1994Expires:10/31/2016Last Renewed:9/10/2014

Prerequisite Information

Licensee:CLARK, KAREN SHEPARDRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:003687Status:Active
Date of Association:Date of Expiration:

Licensee:CLARK, KAREN SHEPARDRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:023118Status:Active
Date of Association:Date of Expiration:

Licensee:CLARK, KAREN SHEPARDRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:023825Status:Active
Date of Association:Date of Expiration:

Licensee:CLARK, KAREN SHEPARDRelationship:Self Automatic
Type:Registered NurseNumber:RN316768LStatus:Active
Date of Association:Date of Expiration:

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