SUSAN D MICHAEL PARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041128780

License Status

NOT RENEWED

Business

First Name

SUSAN D

Middle

MICHAEL

Last Name

PARK

Business Name

SUSAN D MICHAEL PARK

Original Issue Date

10/31/1968

Effective Date

08/03/2020

Expiration Date

08/31/2022

City

LAWRENCE

State

Zip

66049

County

KANSAS

Ever Disciplined

LastModifiedDate

10/14/2022