JENNIFER PARK MD - Medical Doctor License in New York | # 036145774

JENNIFER PARK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145774

License Status

NOT RENEWED

Business

N

Title

MD

First Name

JENNIFER

Last Name

PARK

Business Name

JENNIFER PARK MD

Original Issue Date

04/19/2018

Effective Date

04/19/2018

Expiration Date

09/30/2020

State

NY

Ever Disciplined

N

LastModifiedDate

01/14/2021