KIMBERLY A PARK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006349

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

PARK

Business Name

KIMBERLY A PARK

Original Issue Date

11/23/2004

Effective Date

03/01/2022

Expiration Date

11/30/2023

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

04/16/2024