DOUGLAS E PARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041306054

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

PARK

Business Name

DOUGLAS E PARK

Original Issue Date

09/19/1997

Effective Date

05/25/2018

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/14/2021