PENELOPE L PARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008842

License Status

NOT RENEWED

Business

First Name

PENELOPE L

Last Name

PARK

Business Name

PENELOPE L PARK

Original Issue Date

05/17/2011

Effective Date

05/09/2018

Expiration Date

09/30/2020

City

MORNING SUN

State

Zip

52640

Ever Disciplined

LastModifiedDate

01/14/2021