LORETTA L PARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049351

License Status

INACTIVE

Business

First Name

LORETTA L

Last Name

PARK

Business Name

LORETTA L PARK

Original Issue Date

07/02/1980

Expiration Date

01/31/1995

City

BENLD

State

Zip

62009

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005