RICHARD M PARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041284468

License Status

NOT RENEWED

Business

First Name

RICHARD M

Last Name

PARK

Business Name

RICHARD M PARK

Original Issue Date

09/03/1994

Effective Date

03/22/2010

Expiration Date

05/31/2012

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/10/2012