JAE IM PARK - Registered Nurse License in California | # 041154343

JAE IM PARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154343

License Status

NOT RENEWED

Business

N

First Name

JAE IM

Last Name

PARK

Business Name

JAE IM PARK

Original Issue Date

04/24/1974

Effective Date

04/24/1974

Expiration Date

05/01/1982

State

CA

Ever Disciplined

N

LastModifiedDate

09/27/2006