DEBBRA L PARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041156387

License Status

INACTIVE

Business

First Name

DEBBRA L

Last Name

PARK

Business Name

DEBBRA L PARK

Original Issue Date

09/11/1974

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/08/2020