AMBER D STORK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086365

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

Last Name

STORK

Business Name

AMBER D STORK

Original Issue Date

08/09/2001

Effective Date

12/05/2016

Expiration Date

01/31/2019

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/28/2019