BONGJU PARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041333069

License Status

INACTIVE

Business

First Name

BONGJU

Last Name

PARK

Business Name

BONGJU PARK

Original Issue Date

10/30/2002

Effective Date

10/30/2002

Expiration Date

05/31/2004

City

NOBLESVILLE

State

Zip

46060

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006