MYSTIC LEA PARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041432739

License Status

ACTIVE

Business

First Name

MYSTIC

Middle

LEA

Last Name

PARK

Business Name

MYSTIC LEA PARK

Original Issue Date

07/22/2015

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

03/01/2026