KOON JA PARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130533

License Status

NOT RENEWED

Business

First Name

KOON JA

Last Name

PARK

Business Name

KOON JA PARK

Original Issue Date

03/28/1969

Effective Date

03/28/1969

Expiration Date

05/31/2000

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006