LILLY H PARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209027841

License Status

ACTIVE

Business

First Name

LILLY

Middle

Last Name

PARK

Business Name

LILLY H PARK

Original Issue Date

07/12/2023

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

03/03/2026