JUNG JA KIM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041151069

License Status

NOT RENEWED

Business

First Name

JUNG JA

Last Name

KIM

Business Name

JUNG JA KIM

Original Issue Date

10/03/1973

Effective Date

10/03/1973

Expiration Date

05/31/2008

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/11/2008