THERESA K CLARKE
License Number: APRN11019558
Data As Of 6/2/2024
| Profession | Advanced Practice Registered Nurse |
|---|---|
| License | APRN11019558 |
| License Status | CLEAR/Active |
| Qualifications | Nurse Practitioner |
| License Expiration Date | 4/30/2026 |
| License Original Issue Date | 05/05/2022 |
| Address of Record | 3107 Cove View Ct |
| DACULA, GA 30019 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | No |
| Public Complaint | No |
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