SUMMER L PARK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

INACTIVE

Business

First Name

SUMMER

Middle

Last Name

PARK

Business Name

SUMMER L PARK

Original Issue Date

01/04/2008

Effective Date

03/27/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61605

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/26/2018