DONG HO PARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004774

License Status

NOT RENEWED

Business

First Name

DONG

Middle

Last Name

PARK

Business Name

DONG HO PARK

Original Issue Date

08/11/2003

Effective Date

03/19/2012

Expiration Date

05/31/2014

City

LOS ANGELES

State

Zip

90045

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/03/2014