HACKSOON PARK - Registered Nurse License in Illinois | # 043065528

HACKSOON PARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065528

License Status

NOT RENEWED

Business

N

First Name

HACKSOON

Last Name

PARK

Business Name

HACKSOON PARK

Original Issue Date

12/29/1987

Expiration Date

01/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005