CHANG HWAN PARK MD - Medical Doctor License in New York | # 036044701

CHANG HWAN PARK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044701

License Status

NOT RENEWED

Business

N

First Name

CHANG HWAN

Last Name

PARK

Suffix

MD

Business Name

CHANG HWAN PARK MD

Original Issue Date

08/09/1971

Effective Date

08/09/1971

Expiration Date

07/01/1982

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006