JAE SUN PARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041180868

License Status

NOT RENEWED

Business

First Name

JAE SUN

Last Name

PARK

Business Name

JAE SUN PARK

Original Issue Date

05/08/1978

Effective Date

05/08/1978

Expiration Date

05/31/1988

City

FLUSHING

State

Zip

11354

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/27/2006