NICOLE PARK - Registered Nurse License in Illinois | # 041192340

NICOLE PARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041192340

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Last Name

PARK

Business Name

NICOLE PARK

Original Issue Date

10/17/1979

Effective Date

03/15/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021