Wisconsin
Department of Safety and Professional Services
Lark, Justin D
Registered Nurse
License number
170850-30
Date granted
02/17/2010
Date expires
02/29/2012
Class
Registered Nurse
Status
Inactive
nursingwisconsin.org
ID 13685232
LAST UPDATED 2026-04-10 18:28:29 UTC
LAST UPDATED 2026-04-10 18:28:29 UTC
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