JAE ROCK SHIM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018963

License Status

NOT RENEWED

Business

First Name

JAE

Middle

ROCK

Last Name

SHIM

Business Name

JAE ROCK SHIM

Original Issue Date

03/09/2019

Effective Date

03/09/2019

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

Ever Disciplined

LastModifiedDate

01/14/2021