CLARA J PARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043109178

License Status

NOT RENEWED

Business

First Name

CLARA

Middle

Last Name

PARK

Business Name

CLARA J PARK

Original Issue Date

10/20/2009

Effective Date

11/19/2012

Expiration Date

01/31/2015

City

TERRE HAUTE

State

Zip

47803

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/09/2015