SUMMER L PARK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006933

License Status

INACTIVE

Business

First Name

SUMMER

Middle

Last Name

PARK

Business Name

SUMMER L PARK

Original Issue Date

01/04/2008

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

03/26/2018