LISA S PARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011661

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

PARK

Business Name

LISA S PARK

Original Issue Date

07/23/2014

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

LOS ANGELES

State

Zip

90025

Ever Disciplined

LastModifiedDate

01/14/2021