ANDREW E PARK Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100750

License Status

INACTIVE

Business

First Name

ANDREW

Middle

Last Name

PARK

Business Name

ANDREW E PARK

Original Issue Date

07/21/1999

Effective Date

07/21/1999

Expiration Date

07/31/2002

City

ATLANTA

State

Zip

30329

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/09/2006