JAE IM PARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154343

License Status

NOT RENEWED

Business

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

City

GRANADA HILLS

State

Zip

91344

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/27/2006