DAVID L STARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041160930

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

STARK

Business Name

DAVID L STARK

Original Issue Date

05/06/1975

Effective Date

06/30/2022

Expiration Date

06/30/2024

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/05/2025