SHANNON D PARKS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

INACTIVE

Business

First Name

SHANNON D

Last Name

PARKS

Business Name

SHANNON D PARKS

Original Issue Date

04/07/2020

Effective Date

07/08/2022

Expiration Date

05/31/2024

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

03/31/2023