TONY J PARK MD - Medical Doctor License in Oregon | # 036131305

TONY J PARK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131305

License Status

NOT RENEWED

Business

N

Title

MD

First Name

TONY

Middle

J

Last Name

PARK

Business Name

TONY J PARK MD

Original Issue Date

09/05/2012

Effective Date

04/11/2017

Expiration Date

09/30/2020

State

OR

Ever Disciplined

N

LastModifiedDate

01/14/2021