CHRISTOPHER WILLIAM PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128666

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

WILLIAM

Last Name

PARK

Suffix

Business Name

CHRISTOPHER WILLIAM PARK MD

Original Issue Date

08/01/2011

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

SAN DIEGO

State

Zip

92128

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

01/14/2021