JI HAE PARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041446494

License Status

NOT RENEWED

Business

First Name

Middle

HAE

Last Name

PARK

Business Name

JI HAE PARK

Original Issue Date

09/21/2016

Effective Date

08/28/2022

Expiration Date

06/30/2024

City

SUFFOLK

State

Zip

23435

Ever Disciplined

LastModifiedDate

02/05/2025