STACI R PARK - Registered Nurse License in Illinois | # 041294951

STACI R PARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041294951

License Status

NOT RENEWED

Business

N

First Name

STACI R

Last Name

PARK

Business Name

STACI R PARK

Original Issue Date

02/14/1996

Effective Date

02/14/1996

Expiration Date

05/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006