HAE SOOK SONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041159902

License Status

NOT RENEWED

Business

First Name

HAE SOOK

Last Name

SONG

Business Name

HAE SOOK SONG

Original Issue Date

02/13/1975

Effective Date

02/13/1975

City

BERRIEN SPRINGS

State

Zip

49103

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/27/2006