STACI R PARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041294951

License Status

NOT RENEWED

Business

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

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006