JANELL KAY PARK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

INACTIVE

Business

First Name

JANELL

Middle

KAY

Last Name

PARK

Business Name

JANELL KAY PARK

Original Issue Date

07/12/2016

Effective Date

08/07/2020

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

08/07/2020