PATRICIA LYNN PARKS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

INOPERATIVE

Business

First Name

PATRICIA

Middle

LYNN

Last Name

PARKS

Business Name

PATRICIA LYNN PARKS

Original Issue Date

01/23/2012

Effective Date

04/01/2014

Expiration Date

05/31/2016

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

04/01/2014