MYRNA S PARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041047757

License Status

NOT RENEWED

Business

First Name

MYRNA S

Last Name

PARK

Business Name

MYRNA S PARK

Original Issue Date

12/06/1943

Effective Date

12/06/1943

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/27/2006