JAE SUN PARK - Registered Nurse License in New York | # 041180868

JAE SUN PARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041180868

License Status

NOT RENEWED

Business

N

First Name

JAE SUN

Last Name

PARK

Business Name

JAE SUN PARK

Original Issue Date

05/08/1978

Effective Date

05/08/1978

Expiration Date

05/31/1988

State

NY

Ever Disciplined

N

LastModifiedDate

09/27/2006