AGATHA LEE PARK MD - Medical Doctor License in Missouri | # 036042638

AGATHA LEE PARK MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042638

License Status

INACTIVE

Business

N

First Name

AGATHA LEE

Last Name

PARK

Suffix

MD

Business Name

AGATHA LEE PARK MD

Original Issue Date

07/07/1969

Effective Date

07/07/1969

Expiration Date

07/31/1987

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006