JACQUELINE A STARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

STARK

Business Name

JACQUELINE A STARK

Original Issue Date

04/12/2016

Effective Date

04/12/2016

Expiration Date

05/31/2018

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

07/19/2018