ANDREW E PARK - Medical Doctor License in Georgia | # 036100750

ANDREW E PARK

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100750

License Status

INACTIVE

Business

N

First Name

ANDREW

Middle

E

Last Name

PARK

Business Name

ANDREW E PARK

Original Issue Date

07/21/1999

Effective Date

07/21/1999

Expiration Date

07/31/2002

State

GA

Ever Disciplined

N

LastModifiedDate

10/09/2006