License holder summary

Kolu Stephanie Baysah Clark is a Nursing - Certified Nurse Practitioner Cnp licensed to practice in Massachusetts. The address on file for Kolu Stephanie Baysah Clark is United States, Providence 02908. This licensed professional license is current. The license was granted 12/11/2014 and expired on 05/15/2018.

Massachusetts

Division of Professional Licensure

Kolu Stephanie Baysah Clark
Nursing - Certified Nurse Practitioner Cnp
License number
RN2269378
Date granted
12/11/2014
Date expires
05/15/2018
Class
Nursing - Certified Nurse Practitioner Cnp
Status
Current
Address
United States
licensingma.org
ID 38502419
LAST UPDATED 2024-03-15 23:01:34 UTC

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