JANELL KAY PARK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014151

License Status

INACTIVE

Business

First Name

JANELL

Middle

KAY

Last Name

PARK

Business Name

JANELL KAY PARK

Original Issue Date

03/24/2016

Effective Date

08/07/2020

Expiration Date

05/31/2022

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/07/2020