JAY SUNG PARK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142210

License Status

NOT RENEWED

Business

Title

First Name

JAY

Middle

SUNG

Last Name

PARK

Business Name

JAY SUNG PARK DO

Original Issue Date

01/12/2017

Effective Date

01/12/2017

Expiration Date

07/31/2017

City

ST AUGUSTINE

State

Zip

32095

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017