SHIN JA PAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041122908

License Status

INACTIVE

Business

First Name

SHIN JA

Last Name

PAK

Business Name

SHIN JA PAK

Original Issue Date

09/13/1967

Effective Date

09/13/1967

Expiration Date

05/31/1984

City

BLOOMFIELD HILLS

State

Zip

48013

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/27/2006