CHONG JA PARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041180732

License Status

INACTIVE

Business

First Name

CHONG JA

Last Name

PARK

Business Name

CHONG JA PARK

Original Issue Date

05/08/1978

Effective Date

05/08/1978

Expiration Date

05/31/2004

City

SCOTTSDALE

State

Zip

85254

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006