YANG JA PARK - Registered Nurse License in Illinois | # 041173204

YANG JA PARK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041173204

License Status

NOT RENEWED

Business

N

First Name

YANG JA

Last Name

PARK

Business Name

YANG JA PARK

Original Issue Date

05/12/1977

Effective Date

05/12/1977

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006