JOHN J PARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209030497

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

PARK

Business Name

JOHN J PARK

Original Issue Date

09/09/2024

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/03/2026