GRACE PARK - Registered Nurse License in Illinois | # 041165074

GRACE PARK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041165074

License Status

INACTIVE

Business

N

First Name

GRACE

Last Name

PARK

Business Name

GRACE PARK

Original Issue Date

10/24/1975

Effective Date

03/14/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

03/08/2020