GLENDA F PARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012071

License Status

NOT RENEWED

Business

First Name

GLENDA F

Last Name

PARK

Business Name

GLENDA F PARK

Original Issue Date

01/22/1964

Expiration Date

01/31/1997

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/21/2005