FRED W PARKS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011085

License Status

INACTIVE

Business

First Name

FRED W

Last Name

PARKS

Business Name

FRED W PARKS

Original Issue Date

04/01/1963

City

MARION

State

Zip

62959

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005