YOUNG JA PARK JONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041172199

License Status

NOT RENEWED

Business

First Name

YOUNG JA PARK

Last Name

JONG

Business Name

YOUNG JA PARK JONG

Original Issue Date

12/10/1976

Effective Date

03/27/2012

Expiration Date

05/31/2014

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014