JENNIFER L PARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090105

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

PARK

Business Name

JENNIFER L PARK

Original Issue Date

08/25/2004

Effective Date

12/03/2004

Expiration Date

01/31/2007

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

03/16/2007