IVA JEANETTE STARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043567

License Status

NOT RENEWED

Business

First Name

IVA JEANETTE

Last Name

STARK

Business Name

IVA JEANETTE STARK

Original Issue Date

02/14/1978

Expiration Date

01/31/1993

City

NORTH PEKIN

State

Zip

61554

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005