MICHELLE MARIA PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131405

License Status

ACTIVE

Business

Title

First Name

MICHELLE

Middle

MARIA

Last Name

PARK

Business Name

MICHELLE MARIA PARK MD

Original Issue Date

09/17/2012

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

PHOENIX

State

Zip

85018

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/14/2023