DAVID L STARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000305

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

STARK

Business Name

DAVID L STARK

Original Issue Date

05/18/2001

Effective Date

06/30/2022

Expiration Date

06/30/2024

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/05/2025