BRIAN KYU HONG PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137812

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

KYU HONG

Last Name

PARK

Business Name

BRIAN KYU HONG PARK MD

Original Issue Date

04/17/2015

Effective Date

04/17/2015

Expiration Date

07/31/2017

City

AGOURA

State

Zip

91301

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017