SHANNON D PARKS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020223

License Status

INACTIVE

Business

First Name

SHANNON D

Last Name

PARKS

Business Name

SHANNON D PARKS

Original Issue Date

10/15/2019

Effective Date

07/08/2022

Expiration Date

05/31/2024

City

BLUFORD

State

Zip

62814

County

JEFFERSON

Ever Disciplined

LastModifiedDate

03/31/2023