CHUNG JA KIM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041159788

License Status

NOT RENEWED

Business

First Name

CHUNG

Middle

Last Name

KIM

Business Name

CHUNG JA KIM

Original Issue Date

03/03/1975

Effective Date

03/31/2014

Expiration Date

05/31/2016

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

07/11/2016