License holder summary

LACY ANN PARK is a Nurse - Licensed Practical Nurse licensed to practice in Utah. The address on file for LACY ANN PARK is MT HOME, UT 84051. This licensed professional license is not current. The license was granted 07/06/2006 and expired on 01/31/2012.

Utah

Division of Occupational and Professional Licensing

LACY ANN PARK
Nurse - Licensed Practical Nurse
License number
6214978-3101
Date granted
07/06/2006
Date expires
01/31/2012
Class
Nurse - Licensed Practical Nurse
Status
Superceded
Address
MT HOME, UT 84051
utahlicensing.org
ID 29805976
LAST UPDATED 2026-05-27 04:27:20 UTC

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