BOBBI J PARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

ACTIVE

Business

First Name

BOBBI

Middle

Last Name

PARK

Business Name

BOBBI J PARK

Original Issue Date

07/13/2016

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

MOLINE

State

Zip

61265

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026