PEGGY PARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209027019

License Status

NOT RENEWED

Business

First Name

PEGGY

Last Name

PARK

Business Name

PEGGY PARK

Original Issue Date

03/28/2023

Effective Date

03/28/2023

Expiration Date

06/30/2024

City

SHILOH

State

Zip

62269

Ever Disciplined

LastModifiedDate

02/05/2025